Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $9,520.00 / $15,400.00	Facility		$4,000.00	$9,520.00	$15,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,000.00 / $5,000.00	Professional		$3,500.00	$4,000.00	$5,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $2,320.00 / $5,000.00	Professional		$1,700.00	$2,320.00	$5,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,555.10 / $6,765.51 / $104,539.80	Facility		$4,555.10	$6,765.51	$104,539.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,555.10 / $6,832.67 / $117,607.25	Professional		$4,555.10	$6,832.67	$117,607.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.50 / $6,305.00 / $33,709.33	Facility		$5,687.50	$6,305.00	$33,709.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,687.50 / $6,305.00 / $33,709.33	Facility		$5,687.50	$6,305.00	$33,709.33
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 $2,100.00 / $3,000.00 / $6,603.50	Professional		$2,100.00	$3,000.00	$6,603.50