Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,754.40 / $9,332.54	Facility		$3,630.78	$5,754.40	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,466.84	Professional		$2,344.23	$3,162.28	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $4,168.69	Professional		$239.88	$275.42	$4,168.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $41,686.94 / $81,283.05	Facility		$3,630.78	$41,686.94	$81,283.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $60,255.96 / $107,151.93	Professional		$4,786.30	$60,255.96	$107,151.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $5,128.61	Facility		$2,511.89	$2,511.89	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,897.79	Professional		$4,466.84	$4,466.84	$4,897.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,365.16 / $22,387.21	Facility		$2,511.89	$4,365.16	$22,387.21
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $7,762.47	Professional		$2,884.03	$4,073.80	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,467.37 / $3,890.45	Facility		$1,380.38	$3,467.37	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,466.84	Professional		$1,621.81	$2,344.23	$4,466.84