Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $3,630.78	Facility		$2,089.30	$3,090.30	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $562.34	Professional		$288.40	$363.08	$562.34
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 $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $954.99	Facility		$707.95	$707.95	$954.99
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 $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86