Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,888.44 / $10,964.78	Facility		$1,584.89	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $5,623.41	Professional		$851.14	$1,230.27	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $16,982.44	Facility		$2,238.72	$3,548.13	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,778.28	Professional		$676.08	$1,000.00	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,174.90	Facility		$977.24	$1,047.13	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,000.00 / $21,379.62	Facility		$912.01	$1,000.00	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,258.93 / $1,949.84	Professional		$331.13	$1,258.93	$1,949.84
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 $331.13 / $1,258.93 / $1,995.26	Professional		$331.13	$1,258.93	$1,995.26
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 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,344.23	Professional		$1,047.13	$1,230.27	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $7,413.10	Facility		$2,570.40	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,995.26	Professional		$794.33	$1,096.48	$1,995.26