Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,888.44 / $11,481.54	Facility		$891.25	$5,888.44	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $2,041.74	Professional		$524.81	$645.65	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,025.60 / $22,908.68	Facility		$2,238.72	$6,025.60	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,023.29	Professional		$489.78	$645.65	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $660.69	Facility		$562.34	$562.34	$660.69
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 $549.54 / $776.25 / $1,096.48	Professional		$549.54	$776.25	$1,096.48
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 $512.86 / $758.58 / $1,148.15	Professional		$512.86	$758.58	$1,148.15
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 $549.54 / $645.65 / $1,230.27	Professional		$549.54	$645.65	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,000.00	Professional		$416.87	$630.96	$1,000.00