Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,079.46 / $12,022.64	Facility		$1,122.02	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $2,511.89	Professional		$660.69	$794.33	$2,511.89
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 $645.65 / $851.14 / $1,380.38	Professional		$645.65	$851.14	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $851.14	Facility		$707.95	$707.95	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $21,379.62	Facility		$776.25	$1,202.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,412.54	Professional		$707.95	$977.24	$1,412.54
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 $660.69 / $977.24 / $1,445.44	Professional		$660.69	$977.24	$1,445.44
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 $741.31 / $870.96 / $1,659.59	Professional		$741.31	$870.96	$1,659.59
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 $549.54 / $812.83 / $1,258.93	Professional		$549.54	$812.83	$1,258.93