Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,165.95 / $11,748.98	Facility		$1,071.52	$6,165.95	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,187.76	Professional		$707.95	$977.24	$2,187.76
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 $616.60 / $794.33 / $1,230.27	Professional		$616.60	$794.33	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Facility		$724.44	$724.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $21,379.62	Facility		$794.33	$1,174.90	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,698.24	Professional		$776.25	$1,122.02	$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 / $1,122.02 / $1,698.24	Professional		$741.31	$1,122.02	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
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 $691.83 / $1,096.48 / $1,905.46	Professional		$691.83	$1,096.48	$1,905.46
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 $630.96 / $954.99 / $1,584.89	Professional		$630.96	$954.99	$1,584.89