Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,549.93 / $11,748.98	Facility		$2,454.71	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $309.03	Professional		$131.83	$181.97	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $912.01	Professional		$426.58	$575.44	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,548.82 / $41,686.94	Facility		$102.33	$1,548.82	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,737.80 / $3,090.30	Professional		$138.04	$1,737.80	$3,090.30
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 $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
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 $288.40 / $288.40 / $1,023.29	Professional		$288.40	$288.40	$1,023.29
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 Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
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 $2,137.96 / $5,754.40 / $8,511.38	Facility		$2,137.96	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $512.86	Professional		$204.17	$288.40	$512.86