Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,585.78 / $12,589.25	Facility		$4,897.79	$7,585.78	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $5,248.07	Professional		$3,162.28	$4,168.69	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $6,456.54	Professional		$1,905.46	$2,187.76	$6,456.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $41,686.94 / $109,647.82	Facility		$4,897.79	$41,686.94	$109,647.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $81,283.05 / $144,543.98	Professional		$6,456.54	$81,283.05	$144,543.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $10,964.78	Facility		$3,388.44	$3,388.44	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,606.93	Professional		$6,025.60	$6,025.60	$6,606.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $10,964.78	Facility		$4,073.80	$5,370.32	$10,964.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,754.40 / $12,022.64	Professional		$4,466.84	$5,754.40	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,677.35 / $5,248.07	Facility		$1,862.09	$4,677.35	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $6,025.60	Professional		$2,187.76	$3,162.28	$6,025.60