Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,912.51 / $12,022.64	Facility		$2,691.53	$8,912.51	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $6,309.57	Professional		$2,290.87	$2,884.03	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $12,302.69 / $30,199.52	Facility		$3,388.44	$12,302.69	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,466.84	Professional		$2,187.76	$2,884.03	$4,466.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,019.95	Facility		$2,570.40	$2,570.40	$3,019.95
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $5,248.07	Professional		$2,454.71	$3,548.13	$5,248.07
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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,370.32	Professional		$2,290.87	$3,548.13	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $5,754.40	Professional		$2,570.40	$3,019.95	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $4,677.35	Professional		$1,905.46	$2,951.21	$4,677.35