Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $7,244.36	Facility		$2,884.03	$4,466.84	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,090.30	Professional		$1,819.70	$2,454.71	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $3,801.89	Professional		$1,513.56	$1,737.80	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $41,686.94 / $63,095.73	Facility		$2,818.38	$41,686.94	$63,095.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $47,863.01 / $83,176.38	Professional		$3,715.35	$47,863.01	$83,176.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $6,309.57	Facility		$1,949.84	$1,949.84	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,890.45	Professional		$3,548.13	$3,548.13	$3,890.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $12,302.69	Facility		$2,041.74	$3,090.30	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $3,715.35	Professional		$2,290.87	$2,630.27	$3,715.35
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $7,079.46	Professional		$2,570.40	$3,715.35	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $3,019.95	Facility		$1,096.48	$2,754.23	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,467.37	Professional		$1,258.93	$1,819.70	$3,467.37