Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,918.31 / $12,022.64	Facility		$1,513.56	$6,918.31	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,548.13	Professional		$1,000.00	$1,230.27	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,888.44 / $30,199.52	Facility		$2,137.96	$5,888.44	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,995.26	Professional		$891.25	$1,202.26	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,258.93	Facility		$1,071.52	$1,071.52	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $21,379.62	Facility		$1,230.27	$1,737.80	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,187.76	Professional		$1,047.13	$1,479.11	$2,187.76
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 $977.24 / $1,479.11 / $2,238.72	Professional		$977.24	$1,479.11	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $15,848.93	Facility		$100.00	$100.00	$15,848.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,290.87	Professional		$1,047.13	$1,230.27	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,918.31 / $11,220.18	Facility		$3,890.45	$6,918.31	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,949.84	Professional		$794.33	$1,230.27	$1,949.84