Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,128.61 / $8,317.64	Facility		$3,311.31	$5,128.61	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,168.69	Professional		$2,454.71	$2,884.03	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $4,265.80	Professional		$239.88	$275.42	$4,265.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $41,686.94 / $72,443.60	Facility		$3,235.94	$41,686.94	$72,443.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $54,954.09 / $97,723.72	Professional		$4,265.80	$54,954.09	$97,723.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $7,413.10	Facility		$2,290.87	$2,290.87	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,466.84	Professional		$4,073.80	$4,073.80	$4,466.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $7,413.10	Facility		$3,090.30	$3,630.78	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $4,365.16	Professional		$2,630.27	$3,019.95	$4,365.16
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $6,918.31	Professional		$2,630.27	$3,715.35	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,162.28 / $3,467.37	Facility		$1,258.93	$3,162.28	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,981.07	Professional		$1,479.11	$2,089.30	$3,981.07