Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,585.78 / $12,022.64	Facility		$1,479.11	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $3,981.07	Professional		$933.25	$1,071.52	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $3,019.95	Professional		$933.25	$1,258.93	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,148.15	Facility		$954.99	$954.99	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $21,379.62	Facility		$1,148.15	$1,621.81	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,995.26	Professional		$954.99	$1,318.26	$1,995.26
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 $870.96 / $1,318.26 / $2,041.74	Professional		$870.96	$1,318.26	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,089.30	Professional		$933.25	$1,096.48	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $11,220.18	Facility		$3,890.45	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,778.28	Professional		$758.58	$1,148.15	$1,778.28