Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,444.00 / $7,986.00 / $15,443.64	Facility		$3,444.00	$7,986.00	$15,443.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,672.00 / $15,443.64 / $15,443.64	Professional		$12,672.00	$15,443.64	$15,443.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,937.73 / $9,937.73 / $9,937.73	Professional		$9,937.73	$9,937.73	$9,937.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9,937.73 / $9,937.73 / $9,937.73	Professional		$9,937.73	$9,937.73	$9,937.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00