Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,912.51 / $11,748.98	Facility		$1,995.26	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $3,715.35	Professional		$1,584.89	$1,949.84	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,235.94	Professional		$1,445.44	$1,949.84	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $21,379.62	Facility		$1,318.26	$1,318.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,388.44	Professional		$1,445.44	$2,137.96	$3,388.44
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 $1,548.82 / $2,238.72 / $3,548.13	Professional		$1,548.82	$2,238.72	$3,548.13
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $3,548.13	Professional		$1,548.82	$1,905.46	$3,548.13
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 $1,659.59 / $2,089.30 / $3,235.94	Professional		$1,659.59	$2,089.30	$3,235.94