Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $8,317.64 / $12,302.69	Facility		$1,258.93	$8,317.64	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,511.89	Professional		$891.25	$1,148.15	$2,511.89
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 $758.58 / $1,000.00 / $1,584.89	Professional		$758.58	$1,000.00	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Facility		$891.25	$891.25	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $21,379.62	Facility		$1,023.29	$1,548.82	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,089.30	Professional		$933.25	$1,380.38	$2,089.30
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 $933.25 / $1,380.38 / $2,089.30	Professional		$933.25	$1,380.38	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
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 $870.96 / $1,288.25 / $2,398.83	Professional		$870.96	$1,288.25	$2,398.83
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 $741.31 / $1,174.90 / $1,905.46	Professional		$741.31	$1,174.90	$1,905.46