Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,915.28 / $8,553.00 / $11,627.00	Facility		$1,915.28	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,915.28 / $4,630.00	Professional		$1,875.00	$1,915.28	$4,630.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,921.00 / $2,561.28 / $4,255.18	Professional		$1,921.00	$2,561.28	$4,255.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $59,499.41 / $61,249.39	Facility		$43,749.56	$59,499.41	$61,249.39
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $328.44 / $420.00	Professional		$328.44	$328.44	$420.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $328.44 / $328.44	Professional		$328.44	$328.44	$328.44
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 $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00