Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,309.57 / $12,022.64	Facility		$1,202.26	$6,309.57	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $2,951.21	Professional		$724.44	$831.76	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,079.46 / $22,908.68	Facility		$2,754.23	$7,079.46	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,412.54	Professional		$691.83	$891.25	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $912.01	Facility		$776.25	$776.25	$912.01
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 $758.58 / $1,071.52 / $1,548.82	Professional		$758.58	$1,071.52	$1,548.82
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 $707.95 / $1,071.52 / $1,621.81	Professional		$707.95	$1,071.52	$1,621.81
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 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,698.24	Professional		$758.58	$891.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,412.54	Professional		$588.84	$891.25	$1,412.54