Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $8,912.51 / $11,748.98	Facility		$3,090.30	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $6,025.60	Professional		$2,398.83	$2,884.03	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $60,255.96	Facility		$3,162.28	$8,511.38	$60,255.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $4,786.30	Professional		$2,290.87	$2,951.21	$4,786.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $21,379.62	Facility		$2,041.74	$2,041.74	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $5,370.32	Professional		$2,238.72	$3,388.44	$5,370.32
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 $2,398.83 / $3,388.44 / $5,370.32	Professional		$2,398.83	$3,388.44	$5,370.32
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 $2,398.83 / $2,951.21 / $5,623.41	Professional		$2,398.83	$2,951.21	$5,623.41
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 $2,511.89 / $3,388.44 / $5,011.87	Professional		$2,511.89	$3,388.44	$5,011.87