Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $7,585.78	Facility		$2,511.89	$4,466.84	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,511.89 / $3,090.30	Professional		$478.63	$2,511.89	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $3,801.89	Professional		$208.93	$239.88	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $41,686.94 / $66,069.34	Facility		$2,951.21	$41,686.94	$66,069.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $48,977.88 / $87,096.36	Professional		$3,890.45	$48,977.88	$87,096.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $6,606.93	Facility		$2,041.74	$2,041.74	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,073.80	Professional		$3,630.78	$3,630.78	$4,073.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $12,882.50	Facility		$2,137.96	$3,235.94	$12,882.50
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $7,413.10	Professional		$2,691.53	$3,467.37	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $3,162.28	Facility		$1,148.15	$2,818.38	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,630.78	Professional		$1,318.26	$1,905.46	$3,630.78