Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $7,585.78 / $12,022.64	Facility		$977.24	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $2,570.40	Professional		$501.19	$588.84	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $16,982.44	Facility		$2,238.72	$3,548.13	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,023.29	Professional		$478.63	$645.65	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Facility		$501.19	$501.19	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $21,379.62	Facility		$630.96	$851.14	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,071.52	Professional		$489.78	$691.83	$1,071.52
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 $467.74 / $691.83 / $1,071.52	Professional		$467.74	$691.83	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
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 $489.78 / $575.44 / $1,096.48	Professional		$489.78	$575.44	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $7,413.10	Facility		$2,570.40	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $977.24	Professional		$416.87	$630.96	$977.24