Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.00 / $3,116.00 / $11,581.00	Facility		$1,773.00	$3,116.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.50 / $2,006.00 / $10,268.00	Professional		$758.50	$2,006.00	$10,268.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,084.00 / $17,584.00	Facility		$1,093.00	$7,084.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,577.89 / $72,899.27 / $72,899.27	Facility		$7,577.89	$72,899.27	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104,998.95 / $104,998.95 / $127,498.73	Professional		$104,998.95	$104,998.95	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,333.70 / $4,333.70 / $4,333.70	Facility		$4,333.70	$4,333.70	$4,333.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $738.00 / $2,816.00	Facility		$180.20	$738.00	$2,816.00