Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $8,912.51 / $11,748.98	Facility		$1,479.11	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $3,235.94	Professional		$1,258.93	$1,513.56	$3,235.94
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 $1,258.93 / $1,548.82 / $2,691.53	Professional		$1,258.93	$1,548.82	$2,691.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,513.56	Facility		$1,258.93	$1,288.25	$1,513.56
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 $660.69 / $1,737.80 / $2,691.53	Professional		$660.69	$1,737.80	$2,691.53
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 $660.69 / $1,737.80 / $2,754.23	Professional		$660.69	$1,737.80	$2,754.23
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 / $1,513.56 / $2,884.03	Professional		$1,318.26	$1,513.56	$2,884.03
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 / $1,513.56 / $2,511.89	Professional		$1,174.90	$1,513.56	$2,511.89