Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $9,120.11 / $11,748.98	Facility		$3,801.89	$9,120.11	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $10,471.29	Professional		$3,311.31	$4,168.69	$10,471.29
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 $3,162.28 / $4,073.80 / $6,918.31	Professional		$3,162.28	$4,073.80	$6,918.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $21,379.62	Facility		$2,818.38	$2,818.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $7,585.78	Professional		$3,090.30	$4,570.88	$7,585.78
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 $3,235.94 / $4,677.35 / $7,762.47	Professional		$3,235.94	$4,677.35	$7,762.47
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 $3,311.31 / $4,073.80 / $7,762.47	Professional		$3,311.31	$4,073.80	$7,762.47
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 $3,467.37 / $4,570.88 / $6,760.83	Professional		$3,467.37	$4,570.88	$6,760.83