Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,912.51 / $12,302.69	Facility		$3,311.31	$8,912.51	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $8,912.51	Professional		$389.05	$645.65	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $60,255.96	Facility		$3,162.28	$8,511.38	$60,255.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,202.26	Professional		$537.03	$741.31	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $12,882.50 / $41,686.94	Facility		$851.14	$12,882.50	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $14,454.40 / $25,118.86	Professional		$1,122.02	$14,454.40	$25,118.86
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 Facility Modifier Low / Median / High Price $38,904.51 / $38,904.51 / $38,904.51	Facility		$38,904.51	$38,904.51	$38,904.51
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 $10,471.29 / $28,840.32 / $50,118.72	Facility		$10,471.29	$28,840.32	$50,118.72
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,202.26	Professional		$575.44	$776.25	$1,202.26