Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $7,079.46	Facility		$2,754.23	$4,365.16	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,388.44	Professional		$1,737.80	$2,398.83	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $3,162.28	Professional		$208.93	$239.88	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $40,738.03 / $61,659.50	Facility		$2,691.53	$40,738.03	$61,659.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $45,708.82 / $81,283.05	Professional		$3,630.78	$45,708.82	$81,283.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,801.89	Facility		$1,905.46	$1,905.46	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,715.35	Professional		$3,388.44	$3,388.44	$3,715.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $16,982.44	Facility		$1,905.46	$3,311.31	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,754.40	Professional		$2,187.76	$3,090.30	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,630.27 / $2,951.21	Facility		$1,047.13	$2,630.27	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,388.44	Professional		$1,230.27	$1,737.80	$3,388.44