Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $8,912.51 / $12,302.69	Facility		$1,348.96	$8,912.51	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $5,623.41	Professional		$794.33	$912.01	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $7,943.28	Facility		$1,348.96	$3,311.31	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,548.82	Professional		$758.58	$977.24	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Facility		$794.33	$794.33	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,412.54 / $21,379.62	Facility		$954.99	$1,412.54	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,698.24	Professional		$776.25	$1,096.48	$1,698.24
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 $741.31 / $1,096.48 / $1,698.24	Professional		$741.31	$1,096.48	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
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 $776.25 / $912.01 / $1,737.80	Professional		$776.25	$912.01	$1,737.80
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 $645.65 / $954.99 / $1,513.56	Professional		$645.65	$954.99	$1,513.56