Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,437.97 / $6,875.96 / $10,589.00	Facility		$3,437.97	$6,875.96	$10,589.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.83 / $2,406.59 / $2,922.29	Professional		$2,337.83	$2,406.59	$2,922.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.52 / $396.90 / $1,549.20	Professional		$276.52	$396.90	$1,549.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,437.98 / $10,056.09 / $80,448.73	Facility		$3,437.98	$10,056.09	$80,448.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,594.11 / $8,251.15 / $80,867.42	Professional		$3,594.11	$8,251.15	$80,867.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,910.71 / $4,335.30 / $23,178.43	Facility		$3,910.71	$4,335.30	$23,178.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,910.71 / $4,335.30 / $23,178.43	Facility		$3,910.71	$4,335.30	$23,178.43
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 $1,443.95 / $2,062.79 / $4,540.54	Professional		$1,443.95	$2,062.79	$4,540.54