Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,585.78 / $12,022.64	Facility		$2,398.83	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $9,120.11	Professional		$1,548.82	$1,905.46	$9,120.11
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 $1,513.56 / $1,862.09 / $3,162.28	Professional		$1,513.56	$1,862.09	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $1,862.09	Facility		$1,548.82	$1,659.59	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $21,379.62	Facility		$1,412.54	$2,691.53	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $2,187.76 / $3,388.44	Professional		$389.05	$2,187.76	$3,388.44
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 / $2,187.76 / $3,388.44	Professional		$389.05	$2,187.76	$3,388.44
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 $1,513.56 / $1,778.28 / $3,388.44	Professional		$1,513.56	$1,778.28	$3,388.44
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 $1,412.54 / $1,905.46 / $3,162.28	Professional		$1,412.54	$1,905.46	$3,162.28