Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,888.44 / $10,964.78	Facility		$1,174.90	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $3,235.94	Professional		$707.95	$831.76	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $22,908.68	Facility		$2,238.72	$5,370.32	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,445.44	Professional		$676.08	$870.96	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $870.96	Facility		$741.31	$741.31	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $21,379.62	Facility		$794.33	$1,258.93	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,479.11	Professional		$724.44	$1,023.29	$1,479.11
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 $676.08 / $1,023.29 / $1,479.11	Professional		$676.08	$1,023.29	$1,479.11
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 $758.58 / $891.25 / $1,698.24	Professional		$758.58	$891.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,025.60 / $9,332.54	Facility		$2,951.21	$6,025.60	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,318.26	Professional		$562.34	$831.76	$1,318.26