Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $4,466.84	Facility		$1,778.28	$2,630.27	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,238.72	Professional		$1,122.02	$1,513.56	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $1,995.26	Professional		$208.93	$239.88	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $25,703.96 / $41,686.94	Facility		$1,737.80	$25,703.96	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $29,512.09 / $51,286.14	Professional		$2,290.87	$29,512.09	$51,286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,454.71	Facility		$1,202.26	$1,202.26	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,398.83	Professional		$2,137.96	$2,137.96	$2,398.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $10,715.19	Facility		$1,202.26	$2,137.96	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,715.35	Professional		$1,412.54	$1,949.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Professional		$776.25	$1,122.02	$2,137.96