Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,606.93 / $11,481.54	Facility		$2,344.23	$6,606.93	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $4,168.69	Professional		$363.08	$537.03	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $22,908.68	Facility		$3,235.94	$6,025.60	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,122.02	Professional		$575.44	$741.31	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $7,762.47 / $41,686.94	Facility		$512.86	$7,762.47	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $8,709.64 / $15,488.17	Professional		$691.83	$8,709.64	$15,488.17
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 $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
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 $851.14 / $851.14 / $2,511.89	Professional		$851.14	$851.14	$2,511.89
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 $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
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 $2,570.40 / $4,570.88 / $7,413.10	Facility		$2,570.40	$4,570.88	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $954.99	Professional		$407.38	$616.60	$954.99