Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,317.64 / $12,302.69	Facility		$3,467.37	$8,317.64	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $239.88 / $8,912.51	Professional		$46.77	$239.88	$8,912.51
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 $338.84 / $436.52 / $676.08	Professional		$338.84	$436.52	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $5,370.32 / $41,686.94	Facility		$363.08	$5,370.32	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $6,025.60 / $10,715.19	Professional		$478.63	$6,025.60	$10,715.19
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 $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
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 $5,370.32 / $11,220.18 / $16,218.10	Facility		$5,370.32	$11,220.18	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $416.87	Professional		$50.12	$69.18	$416.87