Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $2,550.00 / $2,550.00	Facility		$2,550.00	$2,550.00	$2,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.72 / $2,550.00 / $2,550.00	Professional		$1,751.72	$2,550.00	$2,550.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,365.00 / $2,080.64	Professional		$1,300.00	$1,365.00	$2,080.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.31 / $1,924.57 / $5,259.23	Facility		$339.31	$1,924.57	$5,259.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.55 / $356.27 / $3,393.05	Professional		$220.55	$356.27	$3,393.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $81.36 / $81.36	Facility		$81.36	$81.36	$81.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $783.67 / $783.67 / $783.67	Professional		$783.67	$783.67	$783.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.26 / $278.59 / $2,786.01	Professional		$242.26	$278.59	$2,786.01