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 $295.12 / $758.58 / $1,949.84	Professional		$295.12	$758.58	$1,949.84
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 $416.87 / $588.84 / $933.25	Professional		$416.87	$588.84	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $8,128.31 / $41,686.94	Facility		$549.54	$8,128.31	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $9,332.54 / $16,218.10	Professional		$724.44	$9,332.54	$16,218.10
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 / $2,754.23	Professional		$1,202.26	$1,202.26	$2,754.23
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 $323.59 / $512.86 / $851.14	Professional		$323.59	$512.86	$851.14