Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,715.35 / $10,715.19	Facility		$776.25	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $2,951.21	Professional		$457.09	$588.84	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $16,982.44	Facility		$1,995.26	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $933.25	Professional		$426.58	$524.81	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $512.86 / $575.44	Facility		$478.63	$512.86	$575.44
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 $331.13 / $645.65 / $1,000.00	Professional		$331.13	$645.65	$1,000.00
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 / $645.65 / $1,000.00	Professional		$331.13	$645.65	$1,000.00
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 $478.63 / $562.34 / $1,047.13	Professional		$478.63	$562.34	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $10,964.78	Facility		$3,890.45	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $933.25	Professional		$407.38	$537.03	$933.25