Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $2,818.38	Professional		$1,819.70	$2,454.71	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $977.24 / $3,630.78	Professional		$239.88	$977.24	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $41,686.94 / $63,095.73	Facility		$2,818.38	$41,686.94	$63,095.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $47,863.01 / $83,176.38	Professional		$3,715.35	$47,863.01	$83,176.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,890.45	Professional		$3,548.13	$3,548.13	$3,890.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $7,079.46	Professional		$2,290.87	$3,162.28	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $4,168.69	Professional		$1,288.25	$1,819.70	$4,168.69