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 $58.88 / $97.72 / $114.82	Professional		$58.88	$97.72	$114.82
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 $134.90 / $1,698.24 / $3,019.95	Professional		$134.90	$1,698.24	$3,019.95
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 / $501.19	Professional		$165.96	$165.96	$501.19
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 $75.86 / $112.20 / $177.83	Professional		$75.86	$112.20	$177.83