Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $9,332.54 / $13,182.57	Facility		$4,897.79	$9,332.54	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $7,079.46 / $10,471.29	Professional		$831.76	$7,079.46	$10,471.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $60,255.96	Facility		$3,162.28	$8,511.38	$60,255.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $741.31	Professional		$338.84	$426.58	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $41,686.94 / $251,188.64	Facility		$11,220.18	$41,686.94	$251,188.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $190,546.07 / $338,844.16	Professional		$14,791.08	$190,546.07	$338,844.16
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 $22,387.21 / $22,387.21 / $22,387.21	Facility		$22,387.21	$22,387.21	$22,387.21
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 / $11,748.98 / $16,218.10	Facility		$5,370.32	$11,748.98	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $13,182.57	Professional		$630.96	$1,023.29	$13,182.57