Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $7,799.00 / $13,726.36	Facility		$3,696.00	$7,799.00	$13,726.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,804.54 / $9,804.54 / $9,804.54	Professional		$9,804.54	$9,804.54	$9,804.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65,624.34 / $65,624.34 / $65,624.34	Facility		$65,624.34	$65,624.34	$65,624.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104,998.95 / $104,998.95 / $104,998.95	Professional		$104,998.95	$104,998.95	$104,998.95
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,313.87 / $9,313.87 / $15,016.01	Facility		$9,313.87	$9,313.87	$15,016.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,351.00	Facility		$2,647.00	$4,410.00	$7,351.00