Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,585.78 / $13,803.84	Facility		$2,691.53	$7,585.78	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $7,079.46	Professional		$1,995.26	$2,290.87	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,079.46 / $22,908.68	Facility		$3,235.94	$7,079.46	$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 $2,089.30 / $2,089.30 / $2,454.71	Facility		$2,089.30	$2,089.30	$2,454.71
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 $2,041.74 / $2,951.21 / $4,365.16	Professional		$2,041.74	$2,951.21	$4,365.16
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 $1,862.09 / $2,951.21 / $4,365.16	Professional		$1,862.09	$2,951.21	$4,365.16
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 $1,949.84 / $2,290.87 / $4,365.16	Professional		$1,949.84	$2,290.87	$4,365.16
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 $1,621.81 / $2,511.89 / $3,890.45	Professional		$1,621.81	$2,511.89	$3,890.45