Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $15,980.00 / $26,180.00	Facility		$8,500.00	$15,980.00	$26,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,780.01 / $5,950.01 / $7,225.01	Professional		$5,780.01	$5,950.01	$7,225.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.82 / $1,797.07 / $4,517.46	Professional		$1,316.82	$1,797.07	$4,517.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $24,862.50 / $198,900.00	Facility		$8,500.00	$24,862.50	$198,900.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,885.68 / $20,400.00 / $199,927.76	Professional		$8,885.68	$20,400.00	$199,927.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,668.75 / $10,718.50 / $57,305.85	Facility		$9,668.75	$10,718.50	$57,305.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,668.75 / $10,718.50 / $57,305.85	Facility		$9,668.75	$10,718.50	$57,305.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $5,100.00 / $11,225.95	Professional		$3,570.00	$5,100.00	$11,225.95