Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,456.54 / $10,964.78	Facility		$1,479.11	$6,456.54	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $3,235.94	Professional		$724.44	$831.76	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $22,908.68	Facility		$3,235.94	$6,025.60	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,348.96	Professional		$630.96	$870.96	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $912.01	Facility		$776.25	$776.25	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $21,379.62	Facility		$870.96	$1,258.93	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,513.56	Professional		$741.31	$1,047.13	$1,513.56
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 $691.83 / $1,047.13 / $1,584.89	Professional		$691.83	$1,047.13	$1,584.89
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 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,659.59	Professional		$741.31	$870.96	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $11,220.18	Facility		$3,890.45	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,412.54	Professional		$575.44	$891.25	$1,412.54