Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,888.44 / $10,964.78	Facility		$1,445.44	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $3,388.44	Professional		$870.96	$1,023.29	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,621.81	Professional		$741.31	$1,000.00	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,071.52	Facility		$912.01	$912.01	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,548.82	Facility		$954.99	$954.99	$1,548.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,778.28	Professional		$1,412.54	$1,412.54	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
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 $933.25 / $1,096.48 / $2,089.30	Professional		$933.25	$1,096.48	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,025.60 / $9,120.11	Facility		$2,818.38	$6,025.60	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,621.81	Professional		$691.83	$1,000.00	$1,621.81