Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $10,715.19	Facility		$1,000.00	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $1,949.84	Professional		$616.60	$707.95	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $15,135.61	Facility		$1,548.82	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,202.26	Professional		$588.84	$758.58	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $758.58	Facility		$630.96	$630.96	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $21,379.62	Facility		$676.08	$1,071.52	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,258.93	Professional		$630.96	$870.96	$1,258.93
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 $588.84 / $870.96 / $1,258.93	Professional		$588.84	$870.96	$1,258.93
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 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,479.11	Professional		$676.08	$776.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,122.02	Professional		$478.63	$707.95	$1,122.02