Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,912.51 / $11,748.98	Facility		$2,691.53	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,511.89 / $5,370.32	Professional		$1,445.44	$2,511.89	$5,370.32
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 $1,230.27 / $1,698.24 / $3,162.28	Professional		$1,230.27	$1,698.24	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
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 $1,737.80 / $2,630.27 / $4,168.69	Professional		$1,737.80	$2,630.27	$4,168.69
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 $1,778.28 / $2,754.23 / $4,265.80	Professional		$1,778.28	$2,754.23	$4,265.80
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $4,897.79	Professional		$2,089.30	$2,454.71	$4,897.79
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 $1,445.44 / $2,454.71 / $4,265.80	Professional		$1,445.44	$2,454.71	$4,265.80