Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $4,570.88	Facility		$1,778.28	$2,818.38	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,187.76	Professional		$1,148.15	$1,548.82	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $2,454.71	Professional		$67.61	$91.20	$2,454.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $26,302.68 / $41,686.94	Facility		$1,778.28	$26,302.68	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $29,512.09 / $52,480.75	Professional		$2,344.23	$29,512.09	$52,480.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,981.07	Facility		$1,230.27	$1,230.27	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,398.83	Professional		$2,187.76	$2,187.76	$2,398.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $7,762.47	Facility		$1,258.93	$1,949.84	$7,762.47
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $4,365.16	Professional		$1,621.81	$2,089.30	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,698.24 / $1,905.46	Facility		$676.08	$1,698.24	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,187.76	Professional		$794.33	$1,148.15	$2,187.76