Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $2,989.00 / $11,581.00	Facility		$1,089.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $473.26 / $1,679.00	Professional		$139.60	$473.26	$1,679.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,313.00 / $17,584.00	Facility		$1,093.00	$7,313.00	$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 $1,000.35 / $1,200.42 / $57,749.42	Facility		$1,000.35	$1,200.42	$57,749.42
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 $1,917.93 / $1,917.93 / $1,917.93	Professional		$1,917.93	$1,917.93	$1,917.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $882.67 / $882.67 / $1,394.00	Facility		$882.67	$882.67	$1,394.00
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 $444.00 / $975.00 / $3,218.00	Facility		$444.00	$975.00	$3,218.00