Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $8,912.51 / $11,748.98	Facility		$977.24	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,187.76	Professional		$831.76	$1,023.29	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $21,877.62	Facility		$2,570.40	$4,897.79	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,819.70	Professional		$812.83	$1,023.29	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $870.96 / $1,023.29	Facility		$851.14	$870.96	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $21,379.62	Facility		$741.31	$1,071.52	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,819.70	Professional		$758.58	$1,202.26	$1,819.70
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 $776.25 / $1,202.26 / $1,819.70	Professional		$776.25	$1,202.26	$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 Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,995.26	Professional		$891.25	$1,047.13	$1,995.26
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 $776.25 / $1,023.29 / $1,698.24	Professional		$776.25	$1,023.29	$1,698.24