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 $524.81 / $870.96 / $11,748.98	Professional		$524.81	$870.96	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,244.36 / $22,908.68	Facility		$3,235.94	$7,244.36	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $891.25	Professional		$407.38	$562.34	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $8,709.64 / $41,686.94	Facility		$575.44	$8,709.64	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $9,772.37 / $16,982.44	Professional		$758.58	$9,772.37	$16,982.44
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 $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
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 $1,288.25 / $1,288.25 / $2,818.38	Professional		$1,288.25	$1,288.25	$2,818.38
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 $457.09 / $977.24 / $3,019.95	Facility		$457.09	$977.24	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $660.69 / $1,513.56	Professional		$309.03	$660.69	$1,513.56