Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $8,912.51 / $12,022.64	Facility		$3,235.94	$8,912.51	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $6,165.95	Professional		$758.58	$1,096.48	$6,165.95
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 $2,089.30 / $2,818.38 / $4,365.16	Professional		$2,089.30	$2,818.38	$4,365.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $14,125.38 / $41,686.94	Facility		$933.25	$14,125.38	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $15,848.93 / $28,183.83	Professional		$1,230.27	$15,848.93	$28,183.83
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 $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
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 $1,778.28 / $1,778.28 / $5,248.07	Professional		$1,778.28	$1,778.28	$5,248.07
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 $15,848.93 / $15,848.93 / $15,848.93	Facility		$15,848.93	$15,848.93	$15,848.93
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 $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,995.26	Professional		$794.33	$1,288.25	$1,995.26