Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $6,456.54	Facility		$2,570.40	$3,890.45	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,691.53	Professional		$1,621.81	$2,187.76	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $3,311.31	Professional		$33.11	$38.02	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $38,018.94 / $56,234.13	Facility		$2,511.89	$38,018.94	$56,234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $42,657.95 / $75,857.76	Professional		$3,311.31	$42,657.95	$75,857.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $5,754.40	Facility		$1,778.28	$1,778.28	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,467.37	Professional		$3,162.28	$3,162.28	$3,467.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $5,754.40	Facility		$2,089.30	$2,818.38	$5,754.40
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $6,309.57	Professional		$2,290.87	$2,951.21	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,454.71 / $2,691.53	Facility		$977.24	$2,454.71	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,090.30	Professional		$1,148.15	$1,621.81	$3,090.30