Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,019.95 / $10,715.19	Facility		$588.84	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,288.25	Professional		$467.74	$562.34	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $7,943.28	Facility		$1,000.00	$2,187.76	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $812.83	Professional		$389.05	$524.81	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $575.44	Facility		$489.78	$489.78	$575.44
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 $489.78 / $676.08 / $1,000.00	Professional		$489.78	$676.08	$1,000.00
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 $467.74 / $676.08 / $1,000.00	Professional		$467.74	$676.08	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,995.26	Facility		$100.00	$100.00	$1,995.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,122.02	Professional		$489.78	$630.96	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $3,235.94	Facility		$478.63	$1,023.29	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $891.25	Professional		$371.54	$562.34	$891.25