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 $794.33 / $954.99 / $3,388.44	Professional		$794.33	$954.99	$3,388.44
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 $870.96 / $1,174.90 / $1,905.46	Professional		$870.96	$1,174.90	$1,905.46
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 $1,047.13 / $1,380.38 / $21,379.62	Facility		$1,047.13	$1,380.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,819.70	Professional		$831.76	$1,230.27	$1,819.70
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 / $1,819.70	Professional		$776.25	$1,230.27	$1,819.70
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 $812.83 / $954.99 / $1,819.70	Professional		$812.83	$954.99	$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 $676.08 / $1,023.29 / $1,584.89	Professional		$676.08	$1,023.29	$1,584.89