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 $281.84 / $537.03 / $6,760.83	Professional		$281.84	$537.03	$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 $102.33 / $138.04 / $338.84	Professional		$102.33	$138.04	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,786.30 / $41,686.94	Facility		$323.59	$4,786.30	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $5,495.41 / $9,549.93	Professional		$426.58	$5,495.41	$9,549.93
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 $436.52 / $724.44 / $1,071.52	Professional		$436.52	$724.44	$1,071.52