Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,079.46 / $12,022.64	Facility		$1,202.26	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $2,951.21	Professional		$758.58	$933.25	$2,951.21
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 $776.25 / $1,096.48 / $1,819.70	Professional		$776.25	$1,096.48	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $912.01	Facility		$776.25	$776.25	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $21,379.62	Facility		$1,023.29	$1,288.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,737.80	Professional		$758.58	$1,122.02	$1,737.80
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 $707.95 / $1,122.02 / $1,737.80	Professional		$707.95	$1,122.02	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
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 $741.31 / $870.96 / $1,621.81	Professional		$741.31	$870.96	$1,621.81
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 / $1,000.00 / $1,513.56	Professional		$630.96	$1,000.00	$1,513.56