Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.86 / $2,511.84 / $4,115.14	Facility		$1,068.86	$2,511.84	$4,115.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.26 / $1,068.86 / $1,135.68	Professional		$935.26	$1,068.86	$1,135.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $516.23 / $1,736.91	Professional		$423.14	$516.23	$1,736.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,736.92 / $26,773.22	Facility		$1,336.09	$1,736.92	$26,773.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,803.72 / $25,609.16	Professional		$1,336.09	$1,803.72	$25,609.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,519.81 / $2,813.81 / $9,007.75	Facility		$1,519.81	$2,813.81	$9,007.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,519.81 / $2,813.81 / $9,007.75	Facility		$1,519.81	$2,813.81	$9,007.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,052.17 / $1,202.48 / $1,453.00	Professional		$1,052.17	$1,202.48	$1,453.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,603.31 / $1,603.31 / $1,603.31	Facility		$1,603.31	$1,603.31	$1,603.31
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $801.65 / $1,764.57	Professional		$561.16	$801.65	$1,764.57