Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,772.37 / $16,218.10	Facility		$6,309.57	$9,772.37	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,495.41 / $7,943.28	Professional		$4,073.80	$5,495.41	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $8,511.38	Professional		$426.58	$524.81	$8,511.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $41,686.94 / $141,253.75	Facility		$6,309.57	$41,686.94	$141,253.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $104,712.85 / $186,208.71	Professional		$8,317.64	$104,712.85	$186,208.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $14,125.38	Facility		$4,365.16	$4,365.16	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $8,511.38	Professional		$7,762.47	$7,762.47	$8,511.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,511.38 / $38,904.51	Facility		$4,365.16	$8,511.38	$38,904.51
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,079.46 / $13,489.63	Professional		$5,011.87	$7,079.46	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,025.60 / $6,760.83	Facility		$2,398.83	$6,025.60	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $7,762.47	Professional		$2,818.38	$4,073.80	$7,762.47