Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,549.93 / $11,748.98	Facility		$2,691.53	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,071.52	Professional		$575.44	$912.01	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,949.84	Professional		$954.99	$1,148.15	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $15,135.61 / $45,708.82	Facility		$977.24	$15,135.61	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $16,595.87 / $29,512.09	Professional		$1,318.26	$16,595.87	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $21,379.62	Facility		$2,754.23	$3,019.95	$21,379.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $21,379.62	Facility		$2,754.23	$3,019.95	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
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 $1,584.89 / $1,584.89 / $5,128.61	Facility		$1,584.89	$1,584.89	$5,128.61
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,606.93 / $10,471.29	Facility		$2,884.03	$6,606.93	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,862.09	Professional		$812.83	$1,148.15	$1,862.09