Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,418.34 / $4,418.34 / $11,180.00	Facility		$4,418.34	$4,418.34	$11,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.08 / $2,321.98 / $2,554.17	Professional		$2,176.08	$2,321.98	$2,554.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.10 / $248.09 / $528.66	Professional		$201.10	$248.09	$528.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.49 / $1,080.49 / $1,080.49	Facility		$1,080.49	$1,080.49	$1,080.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.74 / $4,328.24 / $5,067.43	Facility		$1,736.74	$4,328.24	$5,067.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.31 / $2,006.55 / $3,235.52	Professional		$1,613.31	$2,006.55	$3,235.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,736.74 / $4,349.93 / $5,186.45	Facility		$1,736.74	$4,349.93	$5,186.45
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 $2,560.48 / $2,560.48 / $2,989.62	Facility		$2,560.48	$2,560.48	$2,989.62
United Facility/Professional Professional Modifier Low / Median / High Price $897.93 / $1,290.77 / $2,256.52	Professional		$897.93	$1,290.77	$2,256.52