Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $9,504.00 / $11,679.00	Facility		$3,696.00	$9,504.00	$11,679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,696.00 / $9,534.00 / $12,565.00	Professional		$3,696.00	$9,534.00	$12,565.00
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 $1,616.62 / $26,999.73 / $78,974.21	Facility		$1,616.62	$26,999.73	$78,974.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78,974.21 / $104,998.95 / $127,498.73	Professional		$78,974.21	$104,998.95	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $21,571.00	Facility		$450.00	$450.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Professional		$50.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00