Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,079.46 / $12,022.64	Facility		$1,513.56	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $3,467.37	Professional		$741.31	$912.01	$3,467.37
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 $691.83 / $891.25 / $1,380.38	Professional		$691.83	$891.25	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $891.25	Facility		$758.58	$758.58	$891.25
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,548.82	Professional		$741.31	$1,047.13	$1,548.82
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 $691.83 / $1,047.13 / $1,584.89	Professional		$691.83	$1,047.13	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
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 $724.44 / $851.14 / $1,621.81	Professional		$724.44	$851.14	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,760.83 / $11,220.18	Facility		$3,235.94	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,380.38	Professional		$575.44	$870.96	$1,380.38