Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,888.44 / $10,964.78	Facility		$933.25	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $3,235.94	Professional		$562.34	$645.65	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $22,908.68	Facility		$2,238.72	$5,370.32	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,023.29	Professional		$489.78	$645.65	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Facility		$602.56	$602.56	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $977.24 / $21,379.62	Facility		$630.96	$977.24	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,174.90	Professional		$588.84	$812.83	$1,174.90
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 / $794.33 / $1,230.27	Professional		$549.54	$794.33	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
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 $588.84 / $691.83 / $1,318.26	Professional		$588.84	$691.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,025.60 / $9,332.54	Facility		$2,951.21	$6,025.60	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,071.52	Professional		$446.68	$660.69	$1,071.52