Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,888.44 / $10,964.78	Facility		$1,412.54	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $3,467.37	Professional		$851.14	$977.24	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $15,135.61	Facility		$1,698.24	$3,715.35	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,778.28	Professional		$870.96	$1,096.48	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,071.52	Facility		$912.01	$912.01	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $21,379.62	Facility		$1,071.52	$1,513.56	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,819.70	Professional		$891.25	$1,258.93	$1,819.70
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 $831.76 / $1,258.93 / $1,819.70	Professional		$831.76	$1,258.93	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,949.84	Professional		$891.25	$1,047.13	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,606.93 / $10,471.29	Facility		$3,235.94	$6,606.93	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,659.59	Professional		$707.95	$1,071.52	$1,659.59