Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,232.93 / $12,022.64	Facility		$4,570.88	$10,232.93	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $9,120.11	Professional		$1,122.02	$1,584.89	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $19,054.61 / $41,686.94	Facility		$2,570.40	$19,054.61	$41,686.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,344.23	Professional		$1,288.25	$1,548.82	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $20,892.96 / $41,686.94	Facility		$1,380.38	$20,892.96	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $23,442.29 / $41,686.94	Professional		$1,819.70	$23,442.29	$41,686.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $21,379.62 / $23,988.33	Facility		$11,748.98	$21,379.62	$23,988.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $19,952.62 / $21,379.62	Facility		$11,481.54	$19,952.62	$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 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 $1,698.24 / $2,344.23 / $3,467.37	Professional		$1,698.24	$2,344.23	$3,467.37