Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,079.46 / $12,022.64	Facility		$1,047.13	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $5,128.61	Professional		$602.56	$794.33	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,230.27	Professional		$575.44	$691.83	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $691.83 / $758.58	Facility		$630.96	$691.83	$758.58
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 / $851.14 / $1,318.26	Professional		$331.13	$851.14	$1,318.26
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 / $851.14 / $1,348.96	Professional		$331.13	$851.14	$1,348.96
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 $630.96 / $741.31 / $1,412.54	Professional		$630.96	$741.31	$1,412.54
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 $537.03 / $724.44 / $1,258.93	Professional		$537.03	$724.44	$1,258.93