Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,235.94	Facility		$1,258.93	$1,862.09	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,584.89	Professional		$794.33	$1,096.48	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $1,659.59	Professional		$426.58	$512.86	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $18,620.87 / $41,686.94	Facility		$1,230.27	$18,620.87	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $20,892.96 / $37,153.52	Professional		$1,659.59	$20,892.96	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $2,818.38	Facility		$870.96	$870.96	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,698.24	Professional		$1,548.82	$1,548.82	$1,698.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,818.38	Facility		$1,023.29	$1,380.38	$2,818.38
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,630.27	Professional		$1,000.00	$1,412.54	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,202.26 / $1,348.96	Facility		$478.63	$1,202.26	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,548.82	Professional		$562.34	$794.33	$1,548.82