Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,888.44 / $10,964.78	Facility		$1,318.26	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $4,897.79	Professional		$758.58	$1,000.00	$4,897.79
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 $724.44 / $891.25 / $1,548.82	Professional		$724.44	$891.25	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $870.96 / $977.24	Facility		$812.83	$870.96	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $933.25 / $21,379.62	Facility		$741.31	$933.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,096.48 / $1,698.24	Professional		$331.13	$1,096.48	$1,698.24
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 / $1,096.48 / $1,737.80	Professional		$331.13	$1,096.48	$1,737.80
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 / $3,890.45	Facility		$100.00	$100.00	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,737.80	Professional		$776.25	$912.01	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,621.81	Professional		$707.95	$912.01	$1,621.81