Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,549.93 / $11,748.98	Facility		$2,691.53	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,187.76	Professional		$1,071.52	$1,621.81	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,290.87	Professional		$1,122.02	$1,380.38	$2,290.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $28,183.83 / $41,686.94	Facility		$1,862.09	$28,183.83	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $31,622.78 / $56,234.13	Professional		$2,454.71	$31,622.78	$56,234.13
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 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 $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,818.38	Professional		$1,412.54	$1,905.46	$2,818.38