Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,912.51 / $11,748.98	Facility		$3,162.28	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $7,762.47	Professional		$2,511.89	$3,090.30	$7,762.47
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 $2,454.71 / $3,090.30 / $5,370.32	Professional		$2,454.71	$3,090.30	$5,370.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $21,379.62	Facility		$2,137.96	$2,137.96	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $5,370.32	Professional		$2,290.87	$3,388.44	$5,370.32
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 $2,398.83 / $3,548.13 / $5,623.41	Professional		$2,398.83	$3,548.13	$5,623.41
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 $2,511.89 / $3,162.28 / $5,888.44	Professional		$2,511.89	$3,162.28	$5,888.44
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 $2,454.71 / $3,235.94 / $5,011.87	Professional		$2,454.71	$3,235.94	$5,011.87