Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $10,715.19	Facility		$1,318.26	$3,162.28	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $2,454.71 / $10,232.93	Professional		$263.03	$2,454.71	$10,232.93
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 $1,621.81 / $2,398.83 / $79,432.82	Facility		$1,621.81	$2,398.83	$79,432.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79,432.82 / $79,432.82 / $79,432.82	Professional		$79,432.82	$79,432.82	$79,432.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $21,379.62	Facility		$446.68	$446.68	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $21,379.62	Facility		$446.68	$446.68	$21,379.62
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 $100.00 / $100.00 / $2,818.38	Facility		$100.00	$100.00	$2,818.38
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 $1,412.54 / $2,570.40 / $5,248.07	Facility		$1,412.54	$2,570.40	$5,248.07