Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,585.78 / $13,489.63	Facility		$2,398.83	$7,585.78	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $2,290.87 / $8,511.38	Professional		$169.82	$2,290.87	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $15,488.17	Facility		$1,412.54	$4,365.16	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60,255.96 / $72,443.60 / $79,432.82	Facility		$60,255.96	$72,443.60	$79,432.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $79,432.82	Professional		$75,857.76	$75,857.76	$79,432.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $21,379.62	Facility		$34.67	$562.34	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $3,630.78	Professional		$1,445.44	$1,445.44	$3,630.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,019.95 / $21,379.62	Facility		$524.81	$3,019.95	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $3,630.78	Professional		$123.03	$154.88	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,456.54 / $10,964.78	Facility		$1,047.13	$6,456.54	$10,964.78