Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,590.00 / $6,749.20 / $11,057.20	Facility		$3,590.00	$6,749.20	$11,057.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,665.60 / $2,744.00 / $3,920.00	Professional		$2,665.60	$2,744.00	$3,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,461.36 / $4,233.60 / $6,937.22	Facility		$3,461.36	$4,233.60	$6,937.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $447.68 / $5,096.00	Professional		$335.33	$447.68	$5,096.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,920.00 / $5,096.00 / $75,128.91	Facility		$3,920.00	$5,096.00	$75,128.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,920.00 / $5,292.00 / $75,128.91	Professional		$3,920.00	$5,292.00	$75,128.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,083.63 / $8,255.52 / $24,203.30	Facility		$4,083.63	$8,255.52	$24,203.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,083.63 / $8,255.52 / $24,203.30	Facility		$4,083.63	$8,255.52	$24,203.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,087.00 / $3,528.00 / $4,263.00	Professional		$3,087.00	$3,528.00	$4,263.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.40 / $2,352.00 / $5,711.44	Professional		$1,646.40	$2,352.00	$5,711.44