Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $5,128.61 / $11,481.54	Facility		$588.84	$5,128.61	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,258.93 / $3,715.35	Professional		$323.59	$1,258.93	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,023.29 / $2,089.30	Professional		$302.00	$1,023.29	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,096.48 / $21,379.62	Facility		$257.04	$1,096.48	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $645.65 / $1,949.84	Professional		$331.13	$645.65	$1,949.84
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 $331.13 / $870.96 / $2,041.74	Professional		$331.13	$870.96	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,890.45	Facility		$100.00	$100.00	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,318.26 / $2,454.71	Professional		$316.23	$1,318.26	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,047.13 / $2,089.30	Professional		$331.13	$1,047.13	$2,089.30