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 / $758.58 / $3,235.94	Professional		$645.65	$758.58	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,754.40 / $22,908.68	Facility		$2,238.72	$5,754.40	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,584.89	Professional		$707.95	$977.24	$1,584.89
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 $851.14 / $1,148.15 / $21,379.62	Facility		$851.14	$1,148.15	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,479.11	Professional		$691.83	$1,000.00	$1,479.11
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 / $1,479.11	Professional		$630.96	$977.24	$1,479.11
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 $691.83 / $812.83 / $1,513.56	Professional		$691.83	$812.83	$1,513.56
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 $549.54 / $831.76 / $1,318.26	Professional		$549.54	$831.76	$1,318.26