Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,332.54 / $12,302.69	Facility		$4,168.69	$9,332.54	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $8,912.51	Professional		$645.65	$1,047.13	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,168.69 / $15,135.61	Facility		$1,949.84	$4,168.69	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,025.60 / $9,772.37	Professional		$4,570.88	$6,025.60	$9,772.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $12,302.69 / $45,708.82	Facility		$794.33	$12,302.69	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $13,489.63 / $23,988.33	Professional		$1,047.13	$13,489.63	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $2,137.96	Professional		$870.96	$1,412.54	$2,137.96