Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $10,715.19	Facility		$1,096.48	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $2,511.89	Professional		$660.69	$758.58	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,258.93	Professional		$602.56	$794.33	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $831.76	Facility		$707.95	$707.95	$831.76
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 $691.83 / $954.99 / $1,380.38	Professional		$691.83	$954.99	$1,380.38
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 $645.65 / $954.99 / $1,445.44	Professional		$645.65	$954.99	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
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 $691.83 / $812.83 / $1,548.82	Professional		$691.83	$812.83	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,244.36	Facility		$2,238.72	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,258.93	Professional		$524.81	$776.25	$1,258.93