Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,079.46 / $12,022.64	Facility		$1,230.27	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $2,691.53	Professional		$758.58	$933.25	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $22,908.68	Facility		$2,754.23	$5,754.40	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,513.56	Professional		$724.44	$954.99	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Facility		$794.33	$794.33	$933.25
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 $776.25 / $1,096.48 / $1,621.81	Professional		$776.25	$1,096.48	$1,621.81
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 $724.44 / $1,096.48 / $1,659.59	Professional		$724.44	$1,096.48	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
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 $776.25 / $912.01 / $1,737.80	Professional		$776.25	$912.01	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $11,220.18	Facility		$3,890.45	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,479.11	Professional		$616.60	$933.25	$1,479.11