Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,089.30	Professional		$1,202.26	$1,778.28	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $2,630.27	Professional		$338.84	$416.87	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $30,902.95 / $46,773.51	Facility		$2,041.74	$30,902.95	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $34,673.69 / $61,659.50	Professional		$2,754.23	$34,673.69	$61,659.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,818.38	Professional		$2,570.40	$2,570.40	$2,818.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $5,128.61	Professional		$1,862.09	$2,344.23	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $3,090.30	Professional		$933.25	$1,318.26	$3,090.30