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 $263.03 / $426.58 / $4,168.69	Professional		$263.03	$426.58	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $776.25	Professional		$275.42	$354.81	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $6,456.54 / $41,686.94	Facility		$426.58	$6,456.54	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $7,244.36 / $12,882.50	Professional		$562.34	$7,244.36	$12,882.50
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 $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
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 $707.95 / $707.95 / $2,454.71	Professional		$707.95	$707.95	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
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 $2,818.38 / $6,025.60 / $9,120.11	Facility		$2,818.38	$6,025.60	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $724.44	Professional		$302.00	$467.74	$724.44