Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,585.78 / $12,022.64	Facility		$1,949.84	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $6,309.57	Professional		$1,122.02	$1,445.44	$6,309.57
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 $1,071.52 / $1,318.26 / $2,344.23	Professional		$1,071.52	$1,318.26	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,412.54	Facility		$1,174.90	$1,288.25	$1,412.54
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 / $1,584.89 / $2,511.89	Professional		$389.05	$1,584.89	$2,511.89
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 / $1,584.89 / $2,511.89	Professional		$389.05	$1,584.89	$2,511.89
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 $1,174.90 / $1,380.38 / $2,570.40	Professional		$1,174.90	$1,380.38	$2,570.40
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 $1,023.29 / $1,380.38 / $2,398.83	Professional		$1,023.29	$1,380.38	$2,398.83