Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $11,748.98	Facility		$3,715.35	$9,120.11	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $8,912.51	Professional		$3,019.95	$3,801.89	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,888.44 / $15,135.61	Facility		$1,949.84	$5,888.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $6,456.54	Professional		$2,951.21	$3,801.89	$6,456.54
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 $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 $2,754.23 / $4,265.80 / $6,760.83	Professional		$2,754.23	$4,265.80	$6,760.83
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 $3,019.95 / $4,365.16 / $7,079.46	Professional		$3,019.95	$4,365.16	$7,079.46
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 / $3,801.89 / $7,079.46	Professional		$3,090.30	$3,801.89	$7,079.46
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 $3,235.94 / $4,168.69 / $6,309.57	Professional		$3,235.94	$4,168.69	$6,309.57