Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,888.44 / $11,481.54	Facility		$1,479.11	$5,888.44	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $3,235.94	Professional		$794.33	$933.25	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,165.95 / $22,908.68	Facility		$3,235.94	$6,165.95	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,479.11	Professional		$660.69	$891.25	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,096.48	Facility		$933.25	$933.25	$1,096.48
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 $851.14 / $1,174.90 / $1,737.80	Professional		$851.14	$1,174.90	$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 $812.83 / $1,174.90 / $1,737.80	Professional		$812.83	$1,174.90	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,187.76	Professional		$1,000.00	$1,174.90	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,548.82	Professional		$616.60	$954.99	$1,548.82