Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $5,128.61	Facility		$1,995.26	$3,162.28	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,570.40	Professional		$1,288.25	$1,737.80	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $2,570.40	Professional		$13.18	$15.14	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $29,512.09 / $44,668.36	Facility		$1,995.26	$29,512.09	$44,668.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $33,113.11 / $58,884.37	Professional		$2,630.27	$33,113.11	$58,884.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,466.84	Facility		$1,380.38	$1,380.38	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,691.53	Professional		$2,454.71	$2,454.71	$2,691.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,466.84	Facility		$1,659.59	$2,187.76	$4,466.84
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $4,265.80	Professional		$1,584.89	$2,238.72	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,905.46 / $2,137.96	Facility		$758.58	$1,905.46	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,454.71	Professional		$891.25	$1,288.25	$2,454.71