Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,943.28 / $13,182.57	Facility		$5,128.61	$7,943.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $5,495.41	Professional		$3,311.31	$4,365.16	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $6,606.93	Professional		$66.07	$75.86	$6,606.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $41,686.94 / $114,815.36	Facility		$5,128.61	$41,686.94	$114,815.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $85,113.80 / $151,356.12	Professional		$6,760.83	$85,113.80	$151,356.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $11,481.54	Facility		$3,548.13	$3,548.13	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,918.31	Professional		$6,309.57	$6,309.57	$6,918.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,623.41 / $11,481.54	Facility		$4,265.80	$5,623.41	$11,481.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,025.60 / $12,589.25	Professional		$4,677.35	$6,025.60	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,897.79 / $5,495.41	Facility		$1,949.84	$4,897.79	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $6,309.57	Professional		$2,290.87	$3,311.31	$6,309.57