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 $173.78 / $602.56 / $2,398.83	Professional		$173.78	$602.56	$2,398.83
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 $218.78 / $275.42 / $501.19	Professional		$218.78	$275.42	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $7,079.46 / $41,686.94	Facility		$467.74	$7,079.46	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $7,943.28 / $13,803.84	Professional		$616.60	$7,943.28	$13,803.84
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 $501.19 / $794.33 / $1,445.44	Professional		$501.19	$794.33	$1,445.44