Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $11,481.54	Facility		$1,380.38	$3,162.28	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $77.62 / $2,511.89	Professional		$20.89	$77.62	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $223.87	Professional		$107.15	$131.83	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $346.74 / $616.60	Professional		$26.92	$346.74	$616.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
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 $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $912.01 / $2,951.21	Facility		$208.93	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $57.54	Professional		$23.44	$31.62	$57.54