Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,888.44 / $11,481.54	Facility		$1,258.93	$5,888.44	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $3,090.30	Professional		$758.58	$891.25	$3,090.30
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 $691.83 / $933.25 / $1,479.11	Professional		$691.83	$933.25	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Facility		$794.33	$794.33	$933.25
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 $776.25 / $1,096.48 / $1,584.89	Professional		$776.25	$1,096.48	$1,584.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $21,379.62	Facility		$691.83	$691.83	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,621.81	Professional		$724.44	$1,071.52	$1,621.81
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 $812.83 / $954.99 / $1,819.70	Professional		$812.83	$954.99	$1,819.70
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 $602.56 / $891.25 / $1,412.54	Professional		$602.56	$891.25	$1,412.54