Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,912.51 / $11,748.98	Facility		$2,187.76	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $5,011.87	Professional		$1,905.46	$2,290.87	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $21,877.62	Facility		$2,511.89	$9,549.93	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $3,467.37	Professional		$1,621.81	$1,995.26	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,238.72	Facility		$1,862.09	$1,995.26	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $21,379.62	Facility		$1,698.24	$2,344.23	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,630.27 / $4,073.80	Professional		$457.09	$2,630.27	$4,073.80
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 $457.09 / $2,630.27 / $4,073.80	Professional		$457.09	$2,630.27	$4,073.80
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,981.07	Professional		$1,778.28	$2,089.30	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,801.89	Professional		$1,659.59	$2,238.72	$3,801.89