Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $10,715.19	Facility		$1,258.93	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $2,951.21	Professional		$660.69	$831.76	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,606.93 / $15,135.61	Facility		$2,238.72	$6,606.93	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,318.26	Professional		$602.56	$758.58	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $707.95 / $776.25	Facility		$645.65	$707.95	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $21,379.62	Facility		$602.56	$776.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $891.25 / $1,412.54	Professional		$389.05	$891.25	$1,412.54
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 / $912.01 / $1,412.54	Professional		$389.05	$912.01	$1,412.54
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 $645.65 / $758.58 / $1,445.44	Professional		$645.65	$758.58	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,570.40 / $5,248.07	Facility		$977.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,348.96	Professional		$588.84	$776.25	$1,348.96