Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $30,199.52	Facility		$20,892.96	$20,892.96	$30,199.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $20,892.96 / $30,199.52	Professional		$17,378.01	$20,892.96	$30,199.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39,810.72 / $41,686.94 / $85,113.80	Facility		$39,810.72	$41,686.94	$85,113.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $53,703.18	Professional		$2,398.83	$3,235.94	$53,703.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $28,840.32 / $46,773.51	Facility		$19,498.45	$28,840.32	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $34,673.69 / $52,480.75	Professional		$25,118.86	$34,673.69	$52,480.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Professional		$30,902.95	$30,902.95	$30,902.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Professional		$30,902.95	$30,902.95	$30,902.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $33,884.42	Professional		$39.81	$50.12	$33,884.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $47,863.01 / $47,863.01 / $47,863.01	Facility		$47,863.01	$47,863.01	$47,863.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $39,810.72 / $44,668.36 / $87,096.36	Professional		$39,810.72	$44,668.36	$87,096.36
United Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $23,442.29 / $38,018.94	Facility		$16,595.87	$23,442.29	$38,018.94
United Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $20,417.38 / $33,113.11	Professional		$13,489.63	$20,417.38	$33,113.11