Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,630.27 / $10,715.19	Facility		$616.60	$2,630.27	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,288.25	Professional		$512.86	$602.56	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $7,943.28	Facility		$1,000.00	$2,187.76	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $912.01	Professional		$446.68	$575.44	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $630.96	Facility		$537.03	$537.03	$630.96
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 $537.03 / $741.31 / $1,096.48	Professional		$537.03	$741.31	$1,096.48
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 $501.19 / $741.31 / $1,096.48	Professional		$501.19	$741.31	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,995.26	Facility		$100.00	$100.00	$1,995.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,230.27	Professional		$537.03	$660.69	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $3,235.94	Facility		$478.63	$1,023.29	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $977.24	Professional		$407.38	$602.56	$977.24