Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $3,382.00 / $6,664.00	Facility		$3,250.00	$3,382.00	$6,664.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,579.83 / $1,956.69 / $1,956.69	Professional		$1,579.83	$1,956.69	$1,956.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $108.57 / $193.95	Professional		$86.60	$108.57	$193.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,220.10 / $12,768.97 / $15,884.41	Facility		$1,220.10	$12,768.97	$15,884.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $903.96 / $903.96 / $1,397.03	Professional		$903.96	$903.96	$1,397.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.74 / $1,815.40 / $2,441.50	Facility		$1,280.74	$1,815.40	$2,441.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.66 / $1,545.56 / $2,492.17	Professional		$1,242.66	$1,545.56	$2,492.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,280.74 / $1,815.40 / $2,441.50	Facility		$1,280.74	$1,815.40	$2,441.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $671.56 / $839.45 / $1,007.34	Professional		$671.56	$839.45	$1,007.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,004.09 / $1,004.09 / $1,004.09	Facility		$1,004.09	$1,004.09	$1,004.09
United Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $1,029.80 / $1,894.91	Professional		$75.73	$1,029.80	$1,894.91