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 $295.12 / $436.52 / $8,912.51	Professional		$295.12	$436.52	$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 $457.09 / $645.65 / $1,047.13	Professional		$457.09	$645.65	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $6,309.57 / $41,686.94	Facility		$416.87	$6,309.57	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $7,079.46 / $12,589.25	Professional		$562.34	$7,079.46	$12,589.25
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 $426.58 / $575.44 / $870.96	Professional		$426.58	$575.44	$870.96