Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,818.38 / $11,481.54	Facility		$1,122.02	$2,818.38	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,995.26	Professional		$676.08	$776.25	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,318.26	Professional		$616.60	$831.76	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Facility		$724.44	$724.44	$851.14
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 $724.44 / $1,000.00 / $1,479.11	Professional		$724.44	$1,000.00	$1,479.11
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 $691.83 / $1,000.00 / $1,513.56	Professional		$691.83	$1,000.00	$1,513.56
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,479.11	Professional		$676.08	$776.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,288.25	Professional		$549.54	$851.14	$1,288.25