Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $8,912.51 / $11,748.98	Facility		$1,174.90	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,884.03	Professional		$933.25	$1,174.90	$2,884.03
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 $912.01 / $1,230.27 / $2,137.96	Professional		$912.01	$1,230.27	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $21,379.62	Facility		$794.33	$794.33	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $1,995.26	Professional		$912.01	$1,412.54	$1,995.26
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 $912.01 / $1,412.54 / $2,187.76	Professional		$912.01	$1,412.54	$2,187.76
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 $954.99 / $1,174.90 / $2,187.76	Professional		$954.99	$1,174.90	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $12,882.50 / $20,892.96	Facility		$4,897.79	$12,882.50	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,905.46	Professional		$954.99	$1,230.27	$1,905.46