Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,888.44 / $10,964.78	Facility		$1,096.48	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $3,235.94	Professional		$645.65	$776.25	$3,235.94
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 $660.69 / $891.25 / $1,412.54	Professional		$660.69	$891.25	$1,412.54
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 $676.08 / $977.24 / $1,380.38	Professional		$676.08	$977.24	$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 $630.96 / $977.24 / $1,412.54	Professional		$630.96	$977.24	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
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 $691.83 / $812.83 / $1,548.82	Professional		$691.83	$812.83	$1,548.82
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 $537.03 / $812.83 / $1,288.25	Professional		$537.03	$812.83	$1,288.25