Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,715.35 / $10,715.19	Facility		$2,137.96	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $3,715.35 / $11,481.54	Professional		$218.78	$3,715.35	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $8,128.31 / $17,782.79	Facility		$1,348.96	$8,128.31	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
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
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 $6,309.57 / $6,309.57 / $21,379.62	Facility		$6,309.57	$6,309.57	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $309.03	Facility		$100.00	$100.00	$309.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $75.86	Professional		$70.79	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21