Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $5,248.07	Facility		$2,089.30	$3,162.28	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,187.76	Professional		$1,318.26	$1,778.28	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $2,630.27	Professional		$512.86	$588.84	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $30,902.95 / $45,708.82	Facility		$2,041.74	$30,902.95	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $34,673.69 / $60,255.96	Professional		$2,691.53	$34,673.69	$60,255.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $4,677.35	Facility		$1,445.44	$1,445.44	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,818.38	Professional		$2,570.40	$2,570.40	$2,818.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $4,677.35	Facility		$1,698.24	$2,238.72	$4,677.35
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $5,128.61	Professional		$1,862.09	$2,398.83	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,995.26 / $2,187.76	Facility		$794.33	$1,995.26	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,511.89	Professional		$933.25	$1,318.26	$2,511.89