Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $9,402.00 / $12,096.23	Facility		$3,696.00	$9,402.00	$12,096.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $567.16 / $669.63	Professional		$563.79	$567.16	$669.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.11 / $1,155.60 / $2,026.92	Professional		$881.11	$1,155.60	$2,026.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.98 / $9,131.01 / $18,592.55	Facility		$605.98	$9,131.01	$18,592.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $632.15 / $9,482.19 / $16,733.28	Professional		$632.15	$9,482.19	$16,733.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,613.00 / $20,065.00 / $23,000.00	Facility		$11,613.00	$20,065.00	$23,000.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,046.00 / $19,503.00 / $21,036.00	Facility		$9,046.00	$19,503.00	$21,036.00
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 Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.80 / $829.42 / $1,712.82	Professional		$595.80	$829.42	$1,712.82