Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,549.93 / $11,748.98	Facility		$2,454.71	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $120.23	Professional		$57.54	$95.50	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,511.89	Facility		$1,905.46	$2,137.96	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $295.12	Professional		$138.04	$186.21	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,513.56 / $41,686.94	Facility		$100.00	$1,513.56	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,698.24 / $2,951.21	Professional		$131.83	$1,698.24	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $489.78	Professional		$165.96	$165.96	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $177.83	Professional		$74.13	$112.20	$177.83