Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $8,912.51 / $11,748.98	Facility		$1,380.38	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $3,630.78	Professional		$1,122.02	$1,380.38	$3,630.78
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 $1,096.48 / $1,479.11 / $2,630.27	Professional		$1,096.48	$1,479.11	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $21,379.62	Facility		$933.25	$933.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,398.83	Professional		$1,096.48	$1,659.59	$2,398.83
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 $1,096.48 / $1,698.24 / $2,570.40	Professional		$1,096.48	$1,698.24	$2,570.40
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 $1,122.02 / $1,380.38 / $2,570.40	Professional		$1,122.02	$1,380.38	$2,570.40
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 $1,148.15 / $1,479.11 / $2,238.72	Professional		$1,148.15	$1,479.11	$2,238.72