Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,128.61 / $8,317.64	Facility		$3,311.31	$5,128.61	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $4,168.69	Professional		$2,089.30	$2,818.38	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $4,265.80	Professional		$199.53	$229.09	$4,265.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $41,686.94 / $72,443.60	Facility		$3,235.94	$41,686.94	$72,443.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $54,954.09 / $95,499.26	Professional		$4,265.80	$54,954.09	$95,499.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $7,413.10	Facility		$2,290.87	$2,290.87	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,073.80	Professional		$3,715.35	$3,715.35	$4,073.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $7,413.10	Facility		$2,691.53	$3,630.78	$7,413.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $8,128.31	Professional		$2,951.21	$3,801.89	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,162.28 / $3,467.37	Facility		$1,258.93	$3,162.28	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,981.07	Professional		$1,479.11	$2,089.30	$3,981.07