Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,715.35	Facility		$1,445.44	$2,137.96	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,778.28	Professional		$912.01	$1,230.27	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $1,905.46	Professional		$512.86	$588.84	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $21,379.62 / $41,686.94	Facility		$1,412.54	$21,379.62	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $23,988.33 / $42,657.95	Professional		$1,905.46	$23,988.33	$42,657.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $3,235.94	Facility		$1,000.00	$1,000.00	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,949.84	Professional		$1,778.28	$1,778.28	$1,949.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,235.94	Facility		$1,202.26	$1,584.89	$3,235.94
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,548.13	Professional		$1,318.26	$1,698.24	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,380.38 / $1,548.82	Facility		$549.54	$1,380.38	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,778.28	Professional		$645.65	$912.01	$1,778.28