Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,630.27 / $10,715.19	Facility		$891.25	$2,630.27	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,819.70	Professional		$660.69	$831.76	$1,819.70
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 $467.74 / $660.69 / $1,071.52	Professional		$467.74	$660.69	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $776.25	Facility		$660.69	$660.69	$776.25
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 $645.65 / $954.99 / $1,479.11	Professional		$645.65	$954.99	$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 / $954.99 / $1,479.11	Professional		$645.65	$954.99	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,905.46	Facility		$100.00	$100.00	$1,905.46
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,621.81	Professional		$660.69	$891.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Facility		$1,698.24	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,318.26	Professional		$512.86	$794.33	$1,318.26