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 $1,318.26 / $1,995.26 / $9,120.11	Professional		$1,318.26	$1,995.26	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $19,054.61 / $41,686.94	Facility		$2,754.23	$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 $2,187.76 / $33,113.11 / $48,977.88	Facility		$2,187.76	$33,113.11	$48,977.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $37,153.52 / $66,069.34	Professional		$2,884.03	$37,153.52	$66,069.34
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 $1,819.70 / $2,454.71 / $3,801.89	Professional		$1,819.70	$2,454.71	$3,801.89