Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,079.46 / $12,022.64	Facility		$4,677.35	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $5,754.40	Professional		$3,467.37	$4,265.80	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $9,120.11	Facility		$4,570.88	$5,248.07	$9,120.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,248.07 / $12,022.64	Professional		$1,995.26	$5,248.07	$12,022.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $41,686.94 / $104,712.85	Facility		$4,677.35	$41,686.94	$104,712.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $77,624.71 / $138,038.43	Professional		$6,165.95	$77,624.71	$138,038.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $10,471.29	Facility		$3,235.94	$3,235.94	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $6,309.57	Professional		$5,754.40	$5,754.40	$6,309.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $10,471.29	Facility		$4,466.84	$5,128.61	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $6,165.95	Professional		$3,715.35	$4,265.80	$6,165.95
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $11,481.54	Professional		$4,265.80	$6,165.95	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,466.84 / $5,011.87	Facility		$1,819.70	$4,466.84	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $5,754.40	Professional		$2,089.30	$3,019.95	$5,754.40