Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $11,748.98	Facility		$3,715.35	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $7,943.28	Professional		$1,230.27	$2,089.30	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,202.26	Professional		$549.54	$691.83	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $41,686.94 / $173,780.08	Facility		$7,762.47	$41,686.94	$173,780.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $131,825.67 / $234,422.88	Professional		$10,232.93	$131,825.67	$234,422.88
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
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
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 $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $6,760.83	Professional		$1,023.29	$1,548.82	$6,760.83