Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,585.78 / $12,022.64	Facility		$2,137.96	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $3,981.07	Professional		$977.24	$1,202.26	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,819.70	Professional		$812.83	$1,122.02	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,318.26	Facility		$1,122.02	$1,122.02	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $21,379.62	Facility		$1,122.02	$1,737.80	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,137.96	Professional		$1,047.13	$1,479.11	$2,137.96
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 $977.24 / $1,445.44 / $2,137.96	Professional		$977.24	$1,445.44	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
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 $1,174.90 / $1,380.38 / $2,630.27	Professional		$1,174.90	$1,380.38	$2,630.27
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 $812.83 / $1,174.90 / $1,949.84	Professional		$812.83	$1,174.90	$1,949.84