Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,585.78 / $12,022.64	Facility		$1,380.38	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $6,918.31	Professional		$851.14	$1,071.52	$6,918.31
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 $794.33 / $1,023.29 / $1,737.80	Professional		$794.33	$1,023.29	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $933.25 / $1,023.29	Facility		$851.14	$933.25	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $977.24 / $21,379.62	Facility		$776.25	$977.24	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,148.15 / $1,778.28	Professional		$389.05	$1,148.15	$1,778.28
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 / $1,148.15 / $1,819.70	Professional		$389.05	$1,148.15	$1,819.70
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 $870.96 / $1,023.29 / $1,949.84	Professional		$870.96	$1,023.29	$1,949.84
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 $741.31 / $977.24 / $1,659.59	Professional		$741.31	$977.24	$1,659.59