Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $8,912.51 / $11,748.98	Facility		$1,621.81	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $3,548.13	Professional		$1,380.38	$1,659.59	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,951.21	Professional		$1,348.96	$1,698.24	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,659.59	Facility		$1,380.38	$1,412.54	$1,659.59
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 / $1,905.46 / $2,951.21	Professional		$794.33	$1,905.46	$2,951.21
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 / $1,949.84 / $3,019.95	Professional		$794.33	$1,949.84	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$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 $1,445.44 / $1,698.24 / $3,235.94	Professional		$1,445.44	$1,698.24	$3,235.94
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 $1,288.25 / $1,659.59 / $2,754.23	Professional		$1,288.25	$1,659.59	$2,754.23