Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,888.44 / $10,964.78	Facility		$912.01	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $3,235.94	Professional		$537.03	$630.96	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,023.29	Professional		$489.78	$645.65	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $691.83	Facility		$588.84	$588.84	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $21,379.62	Facility		$630.96	$954.99	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,148.15	Professional		$575.44	$794.33	$1,148.15
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 $537.03 / $794.33 / $1,230.27	Professional		$537.03	$794.33	$1,230.27
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 / $2,511.89	Facility		$100.00	$100.00	$2,511.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,288.25	Professional		$575.44	$676.08	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Facility		$1,698.24	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,047.13	Professional		$436.52	$645.65	$1,047.13