Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,912.51 / $11,748.98	Facility		$1,548.82	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $3,548.13	Professional		$1,318.26	$1,621.81	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,456.54 / $15,135.61	Facility		$2,238.72	$6,456.54	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,754.23	Professional		$1,202.26	$1,548.82	$2,754.23
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 $1,148.15 / $1,621.81 / $21,379.62	Facility		$1,148.15	$1,621.81	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,862.09 / $2,884.03	Professional		$389.05	$1,862.09	$2,884.03
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 / $1,862.09 / $2,951.21	Professional		$389.05	$1,862.09	$2,951.21
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 $1,318.26 / $1,548.82 / $2,951.21	Professional		$1,318.26	$1,548.82	$2,951.21
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 $1,174.90 / $1,584.89 / $2,691.53	Professional		$1,174.90	$1,584.89	$2,691.53