Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,079.46 / $12,022.64	Facility		$1,905.46	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $3,630.78	Professional		$1,023.29	$1,174.90	$3,630.78
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 $977.24 / $1,288.25 / $2,041.74	Professional		$977.24	$1,288.25	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,258.93	Facility		$1,071.52	$1,071.52	$1,258.93
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 $1,047.13 / $1,479.11 / $2,187.76	Professional		$1,047.13	$1,479.11	$2,187.76
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 $977.24 / $1,479.11 / $2,238.72	Professional		$977.24	$1,479.11	$2,238.72
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 $1,047.13 / $1,202.26 / $2,290.87	Professional		$1,047.13	$1,202.26	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,025.60 / $9,120.11	Facility		$2,951.21	$6,025.60	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,995.26	Professional		$831.76	$1,258.93	$1,995.26