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 $1,023.29 / $1,659.59 / $8,912.51	Professional		$1,023.29	$1,659.59	$8,912.51
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 $1,698.24 / $2,089.30 / $3,311.31	Professional		$1,698.24	$2,089.30	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,488.17 / $41,686.94	Facility		$1,023.29	$15,488.17	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $17,378.01 / $30,199.52	Professional		$1,348.96	$17,378.01	$30,199.52
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 $1,258.93 / $2,344.23 / $3,311.31	Professional		$1,258.93	$2,344.23	$3,311.31