Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $8,912.51 / $11,748.98	Facility		$3,019.95	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $7,585.78	Professional		$2,570.40	$3,162.28	$7,585.78
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 $2,041.74 / $2,630.27 / $4,466.84	Professional		$2,041.74	$2,630.27	$4,466.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $3,162.28	Facility		$2,630.27	$2,754.23	$3,162.28
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 $660.69 / $3,548.13 / $5,623.41	Professional		$660.69	$3,548.13	$5,623.41
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 $660.69 / $3,630.78 / $5,623.41	Professional		$660.69	$3,630.78	$5,623.41
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 $2,454.71 / $2,884.03 / $5,495.41	Professional		$2,454.71	$2,884.03	$5,495.41
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 $2,238.72 / $3,162.28 / $5,248.07	Professional		$2,238.72	$3,162.28	$5,248.07