Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,079.46 / $12,022.64	Facility		$1,023.29	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $2,454.71	Professional		$616.60	$707.95	$2,454.71
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 $602.56 / $812.83 / $1,380.38	Professional		$602.56	$812.83	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $776.25	Facility		$660.69	$660.69	$776.25
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 $645.65 / $891.25 / $1,288.25	Professional		$645.65	$891.25	$1,288.25
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 $602.56 / $891.25 / $1,380.38	Professional		$602.56	$891.25	$1,380.38
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 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,445.44	Professional		$645.65	$758.58	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,025.60 / $9,332.54	Facility		$2,951.21	$6,025.60	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,174.90	Professional		$501.19	$758.58	$1,174.90