Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $10,715.19	Facility		$1,148.15	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $2,511.89	Professional		$691.83	$794.33	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,025.60 / $22,908.68	Facility		$1,995.26	$6,025.60	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,071.52	Professional		$478.63	$645.65	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $870.96	Facility		$741.31	$741.31	$870.96
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 $676.08 / $977.24 / $1,445.44	Professional		$676.08	$977.24	$1,445.44
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 $645.65 / $977.24 / $1,548.82	Professional		$645.65	$977.24	$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 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,621.81	Professional		$724.44	$851.14	$1,621.81
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 $537.03 / $794.33 / $1,318.26	Professional		$537.03	$794.33	$1,318.26