Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,912.51 / $11,748.98	Facility		$2,137.96	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $4,168.69	Professional		$1,698.24	$2,089.30	$4,168.69
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 $1,659.59 / $2,238.72 / $3,715.35	Professional		$1,659.59	$2,238.72	$3,715.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $21,379.62	Facility		$1,412.54	$1,412.54	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,715.35	Professional		$1,621.81	$2,398.83	$3,715.35
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 $1,659.59 / $2,398.83 / $3,715.35	Professional		$1,659.59	$2,398.83	$3,715.35
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 $1,659.59 / $2,089.30 / $3,890.45	Professional		$1,659.59	$2,089.30	$3,890.45
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 $1,778.28 / $2,344.23 / $3,467.37	Professional		$1,778.28	$2,344.23	$3,467.37