Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,888.44 / $10,964.78	Facility		$1,548.82	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $3,388.44	Professional		$933.25	$1,096.48	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,621.81	Professional		$758.58	$1,000.00	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,174.90	Facility		$1,000.00	$1,000.00	$1,174.90
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 $954.99 / $1,348.96 / $2,041.74	Professional		$954.99	$1,348.96	$2,041.74
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 $891.25 / $1,348.96 / $2,089.30	Professional		$891.25	$1,348.96	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,187.76	Professional		$977.24	$1,148.15	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,819.70	Professional		$758.58	$1,096.48	$1,819.70