Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $6,165.95	Facility		$2,570.40	$3,801.89	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,570.40	Professional		$1,548.82	$2,089.30	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $8,317.64	Professional		$3,467.37	$4,786.30	$8,317.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $35,481.34 / $53,703.18	Facility		$2,398.83	$35,481.34	$53,703.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $40,738.03 / $70,794.58	Professional		$3,162.28	$40,738.03	$70,794.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $5,370.32	Facility		$1,659.59	$1,659.59	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,311.31	Professional		$3,019.95	$3,019.95	$3,311.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $5,370.32	Facility		$1,995.26	$2,630.27	$5,370.32
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $6,025.60	Professional		$2,187.76	$2,818.38	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,290.87 / $2,570.40	Facility		$933.25	$2,290.87	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,951.21	Professional		$1,071.52	$1,548.82	$2,951.21