Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $4,897.79	Facility		$1,905.46	$3,019.95	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,398.83	Professional		$1,230.27	$1,659.59	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $2,454.71	Professional		$302.00	$354.81	$2,454.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $28,183.83 / $42,657.95	Facility		$1,905.46	$28,183.83	$42,657.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $31,622.78 / $56,234.13	Professional		$2,511.89	$31,622.78	$56,234.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,265.80	Facility		$1,318.26	$1,318.26	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,570.40	Professional		$2,344.23	$2,344.23	$2,570.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $11,748.98	Facility		$1,318.26	$2,570.40	$11,748.98
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,073.80	Professional		$1,513.56	$2,137.96	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,819.70 / $2,041.74	Facility		$724.44	$1,819.70	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,344.23	Professional		$851.14	$1,230.27	$2,344.23