Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,456.54 / $10,964.78	Facility		$1,412.54	$6,456.54	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $4,168.69	Professional		$794.33	$912.01	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $22,908.68	Facility		$2,238.72	$5,370.32	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,584.89	Professional		$758.58	$1,000.00	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Facility		$831.76	$831.76	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $21,379.62	Facility		$977.24	$1,380.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,698.24	Professional		$812.83	$1,148.15	$1,698.24
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 $758.58 / $1,148.15 / $1,737.80	Professional		$758.58	$1,148.15	$1,737.80
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 $812.83 / $954.99 / $1,778.28	Professional		$812.83	$954.99	$1,778.28
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 $645.65 / $977.24 / $1,548.82	Professional		$645.65	$977.24	$1,548.82