Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,715.35 / $10,715.19	Facility		$851.14	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $2,238.72	Professional		$512.86	$588.84	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $912.01	Professional		$446.68	$575.44	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Facility		$549.54	$549.54	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $21,379.62	Facility		$588.84	$891.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,071.52	Professional		$524.81	$741.31	$1,071.52
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 $489.78 / $724.44 / $1,071.52	Professional		$489.78	$724.44	$1,071.52
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 / $2,398.83	Facility		$100.00	$100.00	$2,398.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $1,202.26	Professional		$549.54	$630.96	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Facility		$1,698.24	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $977.24	Professional		$407.38	$588.84	$977.24