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 $114.82 / $194.98 / $302.00	Professional		$114.82	$194.98	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $3,981.07	Facility		$707.95	$2,238.72	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $295.12	Professional		$151.36	$194.98	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,019.95 / $41,686.94	Facility		$199.53	$3,019.95	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $3,388.44 / $6,025.60	Professional		$263.03	$3,388.44	$6,025.60
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 $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
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 $331.13 / $331.13 / $977.24	Professional		$331.13	$331.13	$977.24
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 $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
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 $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $363.08	Professional		$147.91	$223.87	$363.08