Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,585.78 / $12,022.64	Facility		$1,230.27	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $3,235.94	Professional		$758.58	$870.96	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,445.44	Professional		$691.83	$912.01	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $954.99	Facility		$812.83	$812.83	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $21,379.62	Facility		$933.25	$1,318.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,621.81	Professional		$794.33	$1,096.48	$1,621.81
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 $724.44 / $1,096.48 / $1,621.81	Professional		$724.44	$1,096.48	$1,621.81
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 $776.25 / $891.25 / $1,698.24	Professional		$776.25	$891.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,479.11	Professional		$616.60	$933.25	$1,479.11