Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,912.51 / $11,748.98	Facility		$2,187.76	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $3,090.30	Professional		$1,096.48	$2,089.30	$3,090.30
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 $2,570.40 / $3,162.28 / $5,370.32	Professional		$2,570.40	$3,162.28	$5,370.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $21,379.62	Facility		$1,513.56	$1,513.56	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $3,630.78	Professional		$1,548.82	$2,398.83	$3,630.78
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 $1,737.80 / $2,344.23 / $3,630.78	Professional		$1,737.80	$2,344.23	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $1,258.93 / $1,698.24	Professional		$33.11	$1,258.93	$1,698.24
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $3,630.78	Professional		$1,548.82	$1,819.70	$3,630.78
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 / $2,041.74 / $2,951.21	Professional		$1,513.56	$2,041.74	$2,951.21