Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $4,677.35	Facility		$1,819.70	$2,884.03	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,238.72	Professional		$1,174.90	$1,584.89	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,570.40	Professional		$1,148.15	$1,318.26	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $26,915.35 / $41,686.94	Facility		$1,819.70	$26,915.35	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $30,199.52 / $53,703.18	Professional		$2,398.83	$30,199.52	$53,703.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,073.80	Facility		$1,258.93	$1,258.93	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,454.71	Professional		$2,238.72	$2,238.72	$2,454.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $4,073.80	Facility		$1,513.56	$1,995.26	$4,073.80
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,890.45	Professional		$1,445.44	$2,041.74	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,737.80 / $1,949.84	Facility		$691.83	$1,737.80	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,238.72	Professional		$812.83	$1,174.90	$2,238.72