Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $7,762.47	Facility		$3,019.95	$4,570.88	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,388.44	Professional		$1,905.46	$2,570.40	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $4,073.80	Professional		$1,148.15	$1,412.54	$4,073.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $41,686.94 / $67,608.30	Facility		$2,951.21	$41,686.94	$67,608.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $50,118.72 / $89,125.09	Professional		$3,981.07	$50,118.72	$89,125.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $6,760.83	Facility		$2,089.30	$2,089.30	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,073.80	Professional		$3,715.35	$3,715.35	$4,073.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $18,620.87	Facility		$2,089.30	$4,073.80	$18,620.87
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $6,309.57	Professional		$2,398.83	$3,388.44	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $3,235.94	Facility		$1,148.15	$2,884.03	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,715.35	Professional		$1,348.96	$1,905.46	$3,715.35