Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,888.44 / $10,964.78	Facility		$1,047.13	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $2,570.40	Professional		$630.96	$741.31	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $912.01	Professional		$398.11	$537.03	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $794.33	Facility		$676.08	$676.08	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,122.02 / $21,379.62	Facility		$478.63	$1,122.02	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,348.96	Professional		$575.44	$891.25	$1,348.96
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 $575.44 / $891.25 / $1,380.38	Professional		$575.44	$891.25	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
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 $645.65 / $758.58 / $1,445.44	Professional		$645.65	$758.58	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,230.27	Professional		$457.09	$724.44	$1,230.27