Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,585.78 / $12,022.64	Facility		$2,454.71	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $6,606.93	Professional		$1,905.46	$2,187.76	$6,606.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $15,135.61	Facility		$1,698.24	$3,715.35	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $4,073.80	Professional		$1,819.70	$2,511.89	$4,073.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,344.23	Facility		$1,995.26	$1,995.26	$2,344.23
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 $1,862.09 / $2,754.23 / $4,168.69	Professional		$1,862.09	$2,754.23	$4,168.69
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 $1,819.70 / $2,754.23 / $4,265.80	Professional		$1,819.70	$2,754.23	$4,265.80
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 $1,905.46 / $2,238.72 / $4,265.80	Professional		$1,905.46	$2,238.72	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,801.89	Professional		$1,584.89	$2,454.71	$3,801.89