Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,168.69 / $10,715.19	Facility		$891.25	$4,168.69	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $2,041.74	Professional		$616.60	$912.01	$2,041.74
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 $676.08 / $891.25 / $1,479.11	Professional		$676.08	$891.25	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
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 $660.69 / $977.24 / $1,621.81	Professional		$660.69	$977.24	$1,621.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $21,379.62	Facility		$3,715.35	$3,715.35	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,548.82	Professional		$645.65	$977.24	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,511.89	Facility		$100.00	$100.00	$2,511.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,659.59	Professional		$630.96	$912.01	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,348.96	Professional		$616.60	$851.14	$1,348.96