Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,549.93 / $11,748.98	Facility		$2,691.53	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $3,162.28	Professional		$1,096.48	$1,819.70	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $4,677.35	Professional		$2,041.74	$2,754.23	$4,677.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $21,379.62 / $45,708.82	Facility		$1,380.38	$21,379.62	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $23,442.29 / $40,738.03	Professional		$1,819.70	$23,442.29	$40,738.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $7,413.10	Facility		$2,398.83	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,467.37	Professional		$1,445.44	$2,290.87	$3,467.37