Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,324.00 / $9,402.00 / $12,117.00	Facility		$5,324.00	$9,402.00	$12,117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,448.00 / $9,322.00 / $11,679.00	Professional		$6,448.00	$9,322.00	$11,679.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $5,668.00 / $15,697.00	Facility		$1,760.00	$5,668.00	$15,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $243.28 / $812.26	Professional		$206.78	$243.28	$812.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.58 / $274.58 / $72,899.27	Facility		$274.58	$274.58	$72,899.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.84 / $397.84 / $397.84	Professional		$397.84	$397.84	$397.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $397.84 / $397.84 / $397.84	Professional		$397.84	$397.84	$397.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,557.00 / $10,075.00	Facility		$3,206.00	$6,557.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $396.60 / $610.41	Professional		$292.58	$396.60	$610.41