Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,168.69	Facility		$1,659.59	$2,454.71	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,737.80	Professional		$1,047.13	$1,412.54	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $2,187.76	Professional		$851.14	$977.24	$2,187.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $23,988.33 / $41,686.94	Facility		$1,621.81	$23,988.33	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $27,542.29 / $47,863.01	Professional		$2,137.96	$27,542.29	$47,863.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,630.78	Facility		$1,122.02	$1,122.02	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,238.72	Professional		$2,041.74	$2,041.74	$2,238.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,630.78	Facility		$1,348.96	$1,778.28	$3,630.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,467.37	Professional		$1,318.26	$1,819.70	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,548.82 / $1,737.80	Facility		$630.96	$1,548.82	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,995.26	Professional		$724.44	$1,047.13	$1,995.26