Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $10,715.19	Facility		$1,096.48	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $2,511.89	Professional		$676.08	$776.25	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,288.25	Professional		$616.60	$812.83	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $831.76	Facility		$707.95	$707.95	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $21,379.62	Facility		$831.76	$1,202.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,479.11	Professional		$691.83	$977.24	$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 $645.65 / $977.24 / $1,479.11	Professional		$645.65	$977.24	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,513.56	Professional		$676.08	$794.33	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $7,413.10	Facility		$2,454.71	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,318.26	Professional		$537.03	$812.83	$1,318.26