Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,079.46 / $12,022.64	Facility		$1,318.26	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $3,162.28	Professional		$794.33	$912.01	$3,162.28
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 $758.58 / $977.24 / $1,584.89	Professional		$758.58	$977.24	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,000.00	Facility		$851.14	$851.14	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $21,379.62	Facility		$977.24	$1,380.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,698.24	Professional		$831.76	$1,148.15	$1,698.24
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 $776.25 / $1,148.15 / $1,778.28	Professional		$776.25	$1,148.15	$1,778.28
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 $831.76 / $954.99 / $1,819.70	Professional		$831.76	$954.99	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,606.93 / $10,471.29	Facility		$3,235.94	$6,606.93	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,548.82	Professional		$645.65	$977.24	$1,548.82