Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,079.46 / $11,748.98	Facility		$1,071.52	$7,079.46	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $5,248.07	Professional		$616.60	$776.25	$5,248.07
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 $630.96 / $831.76 / $1,318.26	Professional		$630.96	$831.76	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $831.76	Facility		$707.95	$707.95	$831.76
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 $660.69 / $954.99 / $1,380.38	Professional		$660.69	$954.99	$1,380.38
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 $630.96 / $933.25 / $1,380.38	Professional		$630.96	$933.25	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
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 $691.83 / $794.33 / $1,513.56	Professional		$691.83	$794.33	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $13,803.84	Facility		$4,265.80	$9,332.54	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,258.93	Professional		$537.03	$794.33	$1,258.93