Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,888.44 / $10,964.78	Facility		$1,318.26	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $5,495.41	Professional		$812.83	$1,000.00	$5,495.41
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 $794.33 / $1,023.29 / $1,621.81	Professional		$794.33	$1,023.29	$1,621.81
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
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 $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 $831.76 / $1,174.90 / $1,737.80	Professional		$831.76	$1,174.90	$1,737.80
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 / $1,174.90 / $1,778.28	Professional		$776.25	$1,174.90	$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 / $977.24 / $1,862.09	Professional		$831.76	$977.24	$1,862.09
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 $660.69 / $1,000.00 / $1,584.89	Professional		$660.69	$1,000.00	$1,584.89