Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,606.93 / $11,481.54	Facility		$2,454.71	$6,606.93	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $4,466.84 / $6,918.31	Professional		$1,288.25	$4,466.84	$6,918.31
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 $389.05 / $489.78 / $912.01	Professional		$389.05	$489.78	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $41,686.94 / $89,125.09	Facility		$3,981.07	$41,686.94	$89,125.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $67,608.30 / $117,489.76	Professional		$5,248.07	$67,608.30	$117,489.76
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 Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
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 $5,370.32 / $11,220.18 / $16,218.10	Facility		$5,370.32	$11,220.18	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $5,011.87	Professional		$851.14	$1,318.26	$5,011.87