Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,760.83 / $11,481.54	Facility		$2,454.71	$6,760.83	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,918.31 / $11,748.98	Professional		$3,801.89	$6,918.31	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $2,089.30	Professional		$1,000.00	$1,148.15	$2,089.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $75,857.76	Professional		$75,857.76	$75,857.76	$75,857.76
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 $1,148.15 / $1,148.15 / $5,128.61	Facility		$1,148.15	$1,148.15	$5,128.61
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 $2,884.03 / $6,606.93 / $10,471.29	Facility		$2,884.03	$6,606.93	$10,471.29