Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,606.93 / $11,481.54	Facility		$2,344.23	$6,606.93	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $6,760.83	Professional		$338.84	$501.19	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $891.25	Professional		$457.09	$549.54	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $6,918.31 / $41,686.94	Facility		$457.09	$6,918.31	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $7,762.47 / $13,489.63	Professional		$602.56	$7,762.47	$13,489.63
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 $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
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 $2,818.38 / $5,754.40 / $8,912.51	Facility		$2,818.38	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,000.00	Professional		$512.86	$691.83	$1,000.00