Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $8,912.51 / $11,748.98	Facility		$1,318.26	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,235.94	Professional		$1,071.52	$1,348.96	$3,235.94
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 $1,071.52 / $1,412.54 / $2,398.83	Professional		$1,071.52	$1,412.54	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,348.96	Facility		$1,122.02	$1,202.26	$1,348.96
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 $1,023.29 / $1,584.89 / $2,398.83	Professional		$1,023.29	$1,584.89	$2,398.83
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 $1,047.13 / $1,584.89 / $2,398.83	Professional		$1,047.13	$1,584.89	$2,398.83
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 $1,047.13 / $1,230.27 / $2,344.23	Professional		$1,047.13	$1,230.27	$2,344.23
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 $1,023.29 / $1,348.96 / $2,290.87	Professional		$1,023.29	$1,348.96	$2,290.87