Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,585.78 / $13,803.84	Facility		$2,754.23	$7,585.78	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $7,244.36	Professional		$1,995.26	$2,290.87	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,413.10 / $22,908.68	Facility		$3,235.94	$7,413.10	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,890.45	Professional		$1,905.46	$2,454.71	$3,890.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Facility		$2,137.96	$2,137.96	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $21,379.62	Facility		$2,511.89	$3,467.37	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $4,466.84	Professional		$2,089.30	$3,019.95	$4,466.84
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 $1,905.46 / $2,951.21 / $4,466.84	Professional		$1,905.46	$2,951.21	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $21,379.62	Facility		$100.00	$100.00	$21,379.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $4,466.84	Professional		$1,995.26	$2,344.23	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,748.98 / $16,595.87	Facility		$5,370.32	$11,748.98	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $3,981.07	Professional		$1,659.59	$2,511.89	$3,981.07