Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,762.47 / $12,022.64	Facility		$2,951.21	$7,762.47	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $7,413.10	Professional		$1,122.02	$1,862.09	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $21,877.62	Facility		$2,570.40	$4,897.79	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $3,388.44 / $6,606.93	Professional		$812.83	$3,388.44	$6,606.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $45,708.82 / $85,113.80	Facility		$3,715.35	$45,708.82	$85,113.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $63,095.73 / $109,647.82	Professional		$4,897.79	$63,095.73	$109,647.82
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 $30.20 / $60.26 / $60.26	Professional		$30.20	$60.26	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
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 $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $3,981.07	Professional		$1,621.81	$2,454.71	$3,981.07