Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $8,912.51 / $12,302.69	Facility		$1,479.11	$8,912.51	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $4,466.84	Professional		$891.25	$1,023.29	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,370.32 / $22,908.68	Facility		$3,235.94	$5,370.32	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,819.70	Professional		$870.96	$1,122.02	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,122.02	Facility		$933.25	$933.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $21,379.62	Facility		$1,096.48	$1,548.82	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,905.46	Professional		$933.25	$1,318.26	$1,905.46
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 $851.14 / $1,288.25 / $1,995.26	Professional		$851.14	$1,288.25	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
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 $912.01 / $1,071.52 / $2,041.74	Professional		$912.01	$1,071.52	$2,041.74
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 $724.44 / $1,096.48 / $1,737.80	Professional		$724.44	$1,096.48	$1,737.80