Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $8,912.51 / $11,748.98	Facility		$707.95	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,380.38	Professional		$562.34	$676.08	$1,380.38
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 $602.56 / $812.83 / $1,318.26	Professional		$602.56	$812.83	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $660.69	Facility		$562.34	$562.34	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $21,379.62	Facility		$812.83	$1,047.13	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,288.25	Professional		$549.54	$851.14	$1,288.25
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 $549.54 / $851.14 / $1,318.26	Professional		$549.54	$851.14	$1,318.26
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 $549.54 / $645.65 / $1,230.27	Professional		$549.54	$645.65	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $13,803.84	Facility		$4,265.80	$9,332.54	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,174.90	Professional		$512.86	$758.58	$1,174.90