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 $512.86 / $1,122.02 / $2,570.40	Professional		$512.86	$1,122.02	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,454.71 / $7,585.78	Facility		$1,071.52	$2,454.71	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,000.00	Professional		$457.09	$575.44	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $16,218.10 / $41,686.94	Facility		$1,071.52	$16,218.10	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $18,197.01 / $31,622.78	Professional		$1,412.54	$18,197.01	$31,622.78
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 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 $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,187.76	Professional		$1,122.02	$1,445.44	$2,187.76