Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $8,912.51 / $11,748.98	Facility		$2,041.74	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $5,011.87	Professional		$1,584.89	$1,995.26	$5,011.87
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 / $1,995.26 / $3,388.44	Professional		$1,548.82	$1,995.26	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $21,379.62	Facility		$1,348.96	$1,348.96	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $3,388.44	Professional		$1,479.11	$2,344.23	$3,388.44
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 $1,584.89 / $2,398.83 / $3,548.13	Professional		$1,584.89	$2,398.83	$3,548.13
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 $1,621.81 / $1,995.26 / $3,801.89	Professional		$1,621.81	$1,995.26	$3,801.89
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 $1,659.59 / $2,089.30 / $3,311.31	Professional		$1,659.59	$2,089.30	$3,311.31