Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $8,912.51 / $11,748.98	Facility		$1,318.26	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,570.40	Professional		$1,023.29	$1,258.93	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $4,466.84	Facility		$707.95	$2,238.72	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,479.11	Professional		$602.56	$812.83	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $21,379.62	Facility		$870.96	$870.96	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,412.54 / $2,041.74	Professional		$741.31	$1,412.54	$2,041.74
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 $794.33 / $1,445.44 / $2,238.72	Professional		$794.33	$1,445.44	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,344.23	Professional		$1,023.29	$1,258.93	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,089.30	Professional		$954.99	$1,348.96	$2,089.30