Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $7,585.78	Facility		$2,951.21	$4,570.88	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,090.30	Professional		$1,905.46	$2,570.40	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $3,890.45	Professional		$1,230.27	$1,412.54	$3,890.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $41,686.94 / $66,069.34	Facility		$2,951.21	$41,686.94	$66,069.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $48,977.88 / $87,096.36	Professional		$3,890.45	$48,977.88	$87,096.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $6,606.93	Facility		$2,041.74	$2,041.74	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,073.80	Professional		$3,630.78	$3,630.78	$4,073.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $6,606.93	Facility		$2,454.71	$3,235.94	$6,606.93
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $6,309.57	Professional		$2,344.23	$3,311.31	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $3,162.28	Facility		$1,148.15	$2,818.38	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,630.78	Professional		$1,318.26	$1,905.46	$3,630.78