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 $933.25 / $1,348.96 / $6,025.60	Professional		$933.25	$1,348.96	$6,025.60
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 $1,258.93 / $18,620.87 / $41,686.94	Facility		$1,258.93	$18,620.87	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $21,379.62 / $37,153.52	Professional		$1,659.59	$21,379.62	$37,153.52
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 $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
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 $2,187.76 / $2,187.76 / $6,456.54	Professional		$2,187.76	$2,187.76	$6,456.54
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 $1,023.29 / $1,584.89 / $2,454.71	Professional		$1,023.29	$1,584.89	$2,454.71