Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $8,912.51 / $11,748.98	Facility		$1,862.09	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $3,715.35	Professional		$1,479.11	$1,862.09	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,918.31 / $16,982.44	Facility		$2,511.89	$6,918.31	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,090.30	Professional		$1,445.44	$1,862.09	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $21,379.62	Facility		$1,258.93	$1,258.93	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $3,162.28	Professional		$1,380.38	$2,041.74	$3,162.28
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 $1,445.44 / $2,089.30 / $3,162.28	Professional		$1,445.44	$2,089.30	$3,162.28
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 Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $3,467.37	Professional		$1,513.56	$1,862.09	$3,467.37
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 $1,548.82 / $1,949.84 / $3,019.95	Professional		$1,548.82	$1,949.84	$3,019.95