Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $10,715.19	Facility		$1,318.26	$3,162.28	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $2,570.40	Professional		$151.36	$213.80	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $239.88	Professional		$120.23	$144.54	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,715.35 / $45,708.82	Facility		$239.88	$3,715.35	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $4,073.80 / $7,244.36	Professional		$323.59	$4,073.80	$7,244.36
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 $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
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 $3,235.94 / $6,606.93 / $10,471.29	Facility		$3,235.94	$6,606.93	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $407.38	Professional		$181.97	$263.03	$407.38