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 / $588.84 / $1,949.84	Professional		$223.87	$588.84	$1,949.84
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 $676.08 / $10,232.93 / $41,686.94	Facility		$676.08	$10,232.93	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $11,481.54 / $20,417.38	Professional		$891.25	$11,481.54	$20,417.38
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 $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
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 $1,202.26 / $1,202.26 / $3,548.13	Professional		$1,202.26	$1,202.26	$3,548.13
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 $457.09 / $741.31 / $1,122.02	Professional		$457.09	$741.31	$1,122.02