Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $11,481.54	Facility		$1,380.38	$3,162.28	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,023.29 / $2,238.72	Professional		$223.87	$1,023.29	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,165.95 / $22,908.68	Facility		$3,235.94	$6,165.95	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $724.44	Professional		$354.81	$467.74	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $26,302.68 / $41,686.94	Facility		$1,737.80	$26,302.68	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $29,512.09 / $51,286.14	Professional		$2,290.87	$29,512.09	$51,286.14
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $6,760.83	Professional		$1,905.46	$1,905.46	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $2,137.96	Professional		$851.14	$1,348.96	$2,137.96