Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,232.93 / $11,748.98	Facility		$5,128.61	$10,232.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $11,481.54 / $11,748.98	Professional		$8,912.51	$11,481.54	$11,748.98
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 $1,348.96 / $2,041.74 / $79,432.82	Facility		$1,348.96	$2,041.74	$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 $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $389.05	Facility		$100.00	$100.00	$389.05
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 $223.87 / $912.01 / $2,951.21	Facility		$223.87	$912.01	$2,951.21