Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,162.28	Professional		$1,380.38	$1,905.46	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $6,025.60	Professional		$338.84	$416.87	$6,025.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $41,686.94 / $102,329.30	Facility		$4,570.88	$41,686.94	$102,329.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $77,624.71 / $138,038.43	Professional		$6,025.60	$77,624.71	$138,038.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $6,309.57	Professional		$5,754.40	$5,754.40	$6,309.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $11,481.54	Professional		$4,168.69	$5,248.07	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $4,897.79	Professional		$1,047.13	$1,513.56	$4,897.79