Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $8,912.51 / $11,748.98	Facility		$1,096.48	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,454.71	Professional		$933.25	$1,148.15	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $9,772.37 / $24,547.09	Facility		$2,398.83	$9,772.37	$24,547.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,949.84	Professional		$912.01	$1,122.02	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $977.24 / $1,148.15	Facility		$954.99	$977.24	$1,148.15
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 $794.33 / $1,318.26 / $2,041.74	Professional		$794.33	$1,318.26	$2,041.74
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 $794.33 / $1,318.26 / $2,041.74	Professional		$794.33	$1,318.26	$2,041.74
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 $1,000.00 / $1,174.90 / $2,187.76	Professional		$1,000.00	$1,174.90	$2,187.76
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 $870.96 / $1,148.15 / $1,905.46	Professional		$870.96	$1,148.15	$1,905.46