Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,232.93 / $38,018.94	Facility		$3,715.35	$10,232.93	$38,018.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $9,549.93	Professional		$3,090.30	$3,890.45	$9,549.93
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 $2,754.23 / $3,548.13 / $6,165.95	Professional		$2,754.23	$3,548.13	$6,165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $21,379.62	Facility		$2,630.27	$2,630.27	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $6,606.93	Professional		$2,818.38	$4,265.80	$6,606.93
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 $2,951.21 / $4,265.80 / $6,918.31	Professional		$2,951.21	$4,265.80	$6,918.31
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 $3,090.30 / $3,890.45 / $7,244.36	Professional		$3,090.30	$3,890.45	$7,244.36
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 $3,090.30 / $4,073.80 / $6,165.95	Professional		$3,090.30	$4,073.80	$6,165.95