Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,079.46 / $12,022.64	Facility		$1,202.26	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $6,025.60	Professional		$741.31	$891.25	$6,025.60
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 $724.44 / $891.25 / $1,445.44	Professional		$724.44	$891.25	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
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 $776.25 / $1,096.48 / $1,819.70	Professional		$776.25	$1,096.48	$1,819.70
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 $758.58 / $1,096.48 / $1,737.80	Professional		$758.58	$1,096.48	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,905.46	Professional		$831.76	$977.24	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $7,244.36	Facility		$2,238.72	$4,365.16	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,548.82	Professional		$691.83	$912.01	$1,548.82