Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $8,912.51 / $11,748.98	Facility		$1,862.09	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,570.88	Professional		$1,479.11	$1,819.70	$4,570.88
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 $1,412.54 / $1,905.46 / $3,467.37	Professional		$1,412.54	$1,905.46	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $21,379.62	Facility		$1,230.27	$1,230.27	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $3,090.30	Professional		$1,380.38	$2,187.76	$3,090.30
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 $1,445.44 / $2,238.72 / $3,388.44	Professional		$1,445.44	$2,238.72	$3,388.44
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 $1,479.11 / $1,862.09 / $3,467.37	Professional		$1,479.11	$1,862.09	$3,467.37
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 $1,513.56 / $1,949.84 / $3,019.95	Professional		$1,513.56	$1,949.84	$3,019.95