Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $14,454.40 / $20,417.38	Facility		$8,511.38	$14,454.40	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,918.31 / $10,715.19	Professional		$5,128.61	$6,918.31	$10,715.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $10,232.93	Professional		$208.93	$239.88	$10,232.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $41,686.94 / $177,827.94	Facility		$7,943.28	$41,686.94	$177,827.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $131,825.67 / $234,422.88	Professional		$10,471.29	$131,825.67	$234,422.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $17,782.79	Facility		$5,495.41	$5,495.41	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $10,715.19	Professional		$9,772.37	$9,772.37	$10,715.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $8,709.64 / $34,673.69	Facility		$5,623.41	$8,709.64	$34,673.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,244.36 / $10,471.29	Professional		$6,309.57	$7,244.36	$10,471.29
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $9,332.54 / $19,498.45	Professional		$7,244.36	$9,332.54	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,585.78 / $8,511.38	Facility		$3,019.95	$7,585.78	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $8,511.38	Professional		$1,548.82	$2,187.76	$8,511.38