Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,413.10 / $12,022.64	Facility		$2,951.21	$7,413.10	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $5,370.32	Professional		$173.78	$257.04	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $426.58	Professional		$199.53	$257.04	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $4,168.69 / $7,413.10	Professional		$331.13	$4,168.69	$7,413.10
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
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 $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
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 Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,951.21 / $6,760.83	Facility		$1,047.13	$2,951.21	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $524.81	Professional		$234.42	$309.03	$524.81