Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,912.51 / $17,378.01	Facility		$1,995.26	$8,912.51	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $5,754.40	Professional		$977.24	$1,122.02	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $30,199.52	Facility		$2,137.96	$5,370.32	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,905.46	Professional		$912.01	$1,202.26	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,202.26	Facility		$1,023.29	$1,023.29	$1,202.26
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 $1,000.00 / $1,412.54 / $2,089.30	Professional		$1,000.00	$1,412.54	$2,089.30
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 $933.25 / $1,412.54 / $2,137.96	Professional		$933.25	$1,412.54	$2,137.96
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 / $15,848.93	Facility		$100.00	$100.00	$15,848.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,187.76	Professional		$1,000.00	$1,174.90	$2,187.76
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 / $1,174.90 / $1,905.46	Professional		$794.33	$1,174.90	$1,905.46