Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $5,128.61 / $12,022.64	Facility		$660.69	$5,128.61	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,584.89	Professional		$512.86	$676.08	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,019.95 / $7,943.28	Facility		$1,071.52	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,258.93	Professional		$501.19	$707.95	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $602.56	Facility		$512.86	$512.86	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $21,379.62	Facility		$676.08	$912.01	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,230.27	Professional		$549.54	$812.83	$1,230.27
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 $524.81 / $794.33 / $1,258.93	Professional		$524.81	$794.33	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
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 $512.86 / $676.08 / $1,230.27	Professional		$512.86	$676.08	$1,230.27
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 $446.68 / $691.83 / $1,122.02	Professional		$446.68	$691.83	$1,122.02