Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,715.35 / $10,715.19	Facility		$1,174.90	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $2,511.89	Professional		$707.95	$812.83	$2,511.89
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 $616.60 / $812.83 / $1,318.26	Professional		$616.60	$812.83	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $891.25	Facility		$758.58	$758.58	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $21,379.62	Facility		$794.33	$1,230.27	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,479.11	Professional		$741.31	$1,047.13	$1,479.11
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 $691.83 / $1,023.29 / $1,548.82	Professional		$691.83	$1,023.29	$1,548.82
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 $741.31 / $870.96 / $1,621.81	Professional		$741.31	$870.96	$1,621.81
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 $562.34 / $831.76 / $1,348.96	Professional		$562.34	$831.76	$1,348.96