Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,888.44 / $10,964.78	Facility		$1,122.02	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $5,754.40	Professional		$616.60	$794.33	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $16,982.44	Facility		$2,238.72	$3,548.13	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,174.90	Professional		$562.34	$707.95	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
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 $562.34 / $870.96 / $1,258.93	Professional		$562.34	$870.96	$1,258.93
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 $630.96 / $870.96 / $1,318.26	Professional		$630.96	$870.96	$1,318.26
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 / $6,760.83	Facility		$100.00	$100.00	$6,760.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,479.11	Professional		$645.65	$794.33	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $13,803.84	Facility		$4,073.80	$9,332.54	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,230.27	Professional		$630.96	$794.33	$1,230.27