Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,019.95 / $11,481.54	Facility		$1,202.26	$3,019.95	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $3,019.95 / $11,481.54	Professional		$794.33	$3,019.95	$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 $870.96 / $1,047.13 / $1,148.15	Facility		$870.96	$1,047.13	$1,148.15
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 $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
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 / $288.40	Facility		$100.00	$100.00	$288.40
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