Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,760.83 / $11,481.54	Facility		$2,454.71	$6,760.83	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $4,466.84 / $8,709.64	Professional		$630.96	$4,466.84	$8,709.64
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 $512.86 / $630.96 / $1,023.29	Professional		$512.86	$630.96	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $41,686.94 / $229,086.77	Facility		$10,232.93	$41,686.94	$229,086.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $173,780.08 / $309,029.54	Professional		$13,489.63	$173,780.08	$309,029.54
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 $426.58 / $954.99 / $11,748.98	Professional		$426.58	$954.99	$11,748.98