Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,912.51 / $11,748.98	Facility		$1,905.46	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $3,715.35	Professional		$1,584.89	$1,949.84	$3,715.35
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 $1,548.82 / $2,041.74 / $3,467.37	Professional		$1,548.82	$2,041.74	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $21,379.62	Facility		$1,288.25	$1,288.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,890.45	Professional		$1,445.44	$2,238.72	$3,890.45
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 $1,548.82 / $2,238.72 / $3,981.07	Professional		$1,548.82	$2,238.72	$3,981.07
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 $1,445.44 / $1,778.28 / $3,388.44	Professional		$1,445.44	$1,778.28	$3,388.44
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 $1,584.89 / $2,344.23 / $3,311.31	Professional		$1,584.89	$2,344.23	$3,311.31