Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,549.93 / $11,748.98	Facility		$2,691.53	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $57.54 / $208.93	Professional		$12.88	$57.54	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $891.25	Professional		$398.11	$537.03	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $660.69 / $45,708.82	Facility		$42.66	$660.69	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $724.44 / $1,288.25	Professional		$56.23	$724.44	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,606.93 / $10,471.29	Facility		$3,548.13	$6,606.93	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $112.20	Professional		$29.51	$57.54	$112.20