Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $11,481.54	Facility		$2,089.30	$3,981.07	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,981.07 / $11,748.98	Professional		$2,511.89	$3,981.07	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $407.38	Professional		$208.93	$251.19	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $41,686.94 / $63,095.73	Facility		$41,686.94	$41,686.94	$63,095.73
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
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