Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,890.45 / $5,495.41	Facility		$2,137.96	$3,890.45	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,290.87	Professional		$1,380.38	$1,819.70	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $2,818.38	Professional		$794.33	$912.01	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $31,622.78 / $47,863.01	Facility		$2,137.96	$31,622.78	$47,863.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $35,481.34 / $63,095.73	Professional		$2,818.38	$35,481.34	$63,095.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $4,786.30	Facility		$1,479.11	$1,479.11	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,884.03	Professional		$2,630.27	$2,630.27	$2,884.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $9,332.54	Facility		$1,513.56	$2,344.23	$9,332.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $5,248.07	Professional		$1,949.84	$2,511.89	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,041.74 / $2,290.87	Facility		$812.83	$2,041.74	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,630.27	Professional		$954.99	$1,380.38	$2,630.27