Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.00 / $3,116.00 / $11,581.00	Facility		$1,532.00	$3,116.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.43 / $1,897.56 / $8,553.00	Professional		$274.43	$1,897.56	$8,553.00
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 Professional Modifier Low / Median / High Price $417.95 / $417.95 / $417.95	Professional		$417.95	$417.95	$417.95
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 $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00