Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,912.51 / $12,302.69	Facility		$1,548.82	$8,912.51	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $5,754.40	Professional		$741.31	$851.14	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,479.11	Professional		$707.95	$933.25	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Facility		$794.33	$794.33	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $21,379.62	Facility		$912.01	$1,288.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,621.81	Professional		$776.25	$1,096.48	$1,621.81
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 $724.44 / $1,096.48 / $1,659.59	Professional		$724.44	$1,096.48	$1,659.59
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 / $15,848.93	Facility		$100.00	$100.00	$15,848.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,698.24	Professional		$776.25	$912.01	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,918.31 / $11,220.18	Facility		$3,890.45	$6,918.31	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,445.44	Professional		$602.56	$933.25	$1,445.44