Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $6,606.93	Facility		$2,187.76	$3,890.45	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,187.76 / $2,951.21	Professional		$457.09	$2,187.76	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $3,467.37	Professional		$208.93	$251.19	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $38,018.94 / $57,543.99	Facility		$2,570.40	$38,018.94	$57,543.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $43,651.58 / $75,857.76	Professional		$3,388.44	$43,651.58	$75,857.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $5,754.40	Facility		$1,778.28	$1,778.28	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,548.13	Professional		$3,162.28	$3,162.28	$3,548.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $11,220.18	Facility		$1,862.09	$2,818.38	$11,220.18
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $5,495.41	Professional		$2,041.74	$2,884.03	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,454.71 / $2,754.23	Facility		$1,000.00	$2,454.71	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,162.28	Professional		$1,148.15	$1,659.59	$3,162.28