Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $8,912.51 / $11,748.98	Facility		$501.19	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $954.99	Professional		$398.11	$478.63	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,454.71 / $7,585.78	Facility		$1,071.52	$2,454.71	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $851.14	Professional		$398.11	$501.19	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $851.14	Professional		$380.19	$602.56	$851.14
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 $407.38 / $602.56 / $891.25	Professional		$407.38	$602.56	$891.25
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 $389.05 / $478.63 / $891.25	Professional		$389.05	$478.63	$891.25
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 $416.87 / $537.03 / $794.33	Professional		$416.87	$537.03	$794.33