Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $5,370.32	Facility		$2,089.30	$3,090.30	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,818.38	Professional		$1,479.11	$1,778.28	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $2,884.03	Professional		$1,548.82	$1,737.80	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $4,168.69	Facility		$2,041.74	$2,570.40	$4,168.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $34,673.69 / $61,659.50	Professional		$2,754.23	$34,673.69	$61,659.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $4,677.35	Facility		$1,445.44	$1,445.44	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $3,162.28	Professional		$1,445.44	$2,570.40	$3,162.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $12,882.50	Facility		$1,096.48	$1,445.44	$12,882.50
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $4,466.84	Professional		$1,445.44	$2,344.23	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $2,238.72	Facility		$794.33	$1,445.44	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,238.72	Professional		$933.25	$1,318.26	$2,238.72