Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $8,128.31 / $12,022.64	Facility		$1,479.11	$8,128.31	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,905.46 / $4,466.84	Professional		$436.52	$1,905.46	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,698.24 / $3,235.94	Professional		$436.52	$1,698.24	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,995.26 / $21,379.62	Facility		$371.54	$1,995.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $3,467.37	Professional		$457.09	$891.25	$3,467.37
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 $478.63 / $912.01 / $3,548.13	Professional		$478.63	$912.01	$3,548.13
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 / $14,125.38	Facility		$100.00	$100.00	$14,125.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,174.90 / $4,073.80	Professional		$416.87	$1,174.90	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,220.18 / $16,218.10	Facility		$5,370.32	$11,220.18	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,737.80 / $3,801.89	Professional		$467.74	$1,737.80	$3,801.89