Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,413.10 / $12,022.64	Facility		$3,467.37	$7,413.10	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $7,413.10	Professional		$2,951.21	$3,467.37	$7,413.10
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 $2,884.03 / $3,715.35 / $6,025.60	Professional		$2,884.03	$3,715.35	$6,025.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,715.35	Facility		$3,162.28	$3,162.28	$3,715.35
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 $3,090.30 / $4,365.16 / $6,309.57	Professional		$3,090.30	$4,365.16	$6,309.57
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 $2,884.03 / $4,265.80 / $6,309.57	Professional		$2,884.03	$4,265.80	$6,309.57
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 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $6,760.83	Professional		$3,019.95	$3,548.13	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,760.83 / $11,220.18	Facility		$3,235.94	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $5,888.44	Professional		$2,398.83	$3,630.78	$5,888.44