Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.16 / $3,572.38 / $5,852.62	Facility		$1,520.16	$3,572.38	$5,852.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.14 / $1,520.16 / $1,577.17	Professional		$1,330.14	$1,520.16	$1,577.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $610.00 / $1,883.83	Professional		$500.00	$610.00	$1,883.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.20 / $5,558.09 / $45,499.55	Facility		$1,900.20	$5,558.09	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,986.59 / $4,560.47 / $44,698.20	Professional		$1,986.59	$4,560.47	$44,698.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,161.48 / $2,396.15 / $12,810.89	Facility		$2,161.48	$2,396.15	$12,810.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,161.48 / $2,396.15 / $12,810.89	Facility		$2,161.48	$2,396.15	$12,810.89
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 $798.08 / $1,140.11 / $2,509.59	Professional		$798.08	$1,140.11	$2,509.59