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 $257.04 / $380.19 / $1,949.84	Professional		$257.04	$380.19	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,511.89	Facility		$1,905.46	$2,137.96	$2,511.89
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 $346.74 / $5,248.07 / $41,686.94	Facility		$346.74	$5,248.07	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $5,888.44 / $10,232.93	Professional		$457.09	$5,888.44	$10,232.93
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 $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
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 $616.60 / $616.60 / $1,819.70	Professional		$616.60	$616.60	$1,819.70
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 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $676.08	Professional		$288.40	$436.52	$676.08