Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,549.93 / $11,748.98	Facility		$2,454.71	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.88 / $28.18	Professional		$6.03	$12.88	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $275.42	Professional		$85.11	$154.88	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $97.72 / $41,686.94	Facility		$6.61	$97.72	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $109.65 / $194.98	Professional		$8.71	$109.65	$194.98
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 Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.89 / $8.32	Professional		$4.79	$5.89	$8.32