Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,585.78 / $12,022.64	Facility		$1,659.59	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $3,981.07	Professional		$812.83	$933.25	$3,981.07
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 $912.01 / $1,202.26 / $1,905.46	Professional		$912.01	$1,202.26	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,023.29	Facility		$870.96	$870.96	$1,023.29
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 $851.14 / $1,230.27 / $1,862.09	Professional		$851.14	$1,230.27	$1,862.09
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 / $1,230.27 / $1,862.09	Professional		$776.25	$1,230.27	$1,862.09
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 $831.76 / $977.24 / $1,819.70	Professional		$831.76	$977.24	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $11,220.18	Facility		$3,890.45	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,621.81	Professional		$691.83	$1,047.13	$1,621.81