Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $10,715.19	Facility		$1,412.54	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $3,467.37	Professional		$933.25	$1,148.15	$3,467.37
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 $891.25 / $1,096.48 / $1,949.84	Professional		$891.25	$1,096.48	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,122.02	Facility		$933.25	$1,023.29	$1,122.02
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 $389.05 / $1,258.93 / $1,995.26	Professional		$389.05	$1,258.93	$1,995.26
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 $389.05 / $1,288.25 / $1,995.26	Professional		$389.05	$1,288.25	$1,995.26
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 $933.25 / $1,096.48 / $2,089.30	Professional		$933.25	$1,096.48	$2,089.30
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 $831.76 / $1,096.48 / $1,905.46	Professional		$831.76	$1,096.48	$1,905.46