Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,912.51 / $11,748.98	Facility		$2,570.40	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $5,128.61	Professional		$1,479.11	$2,398.83	$5,128.61
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 $1,380.38 / $1,862.09 / $3,162.28	Professional		$1,380.38	$1,862.09	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
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 $1,778.28 / $2,630.27 / $3,981.07	Professional		$1,778.28	$2,630.27	$3,981.07
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 $1,862.09 / $2,691.53 / $4,073.80	Professional		$1,862.09	$2,691.53	$4,073.80
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 $2,041.74 / $2,344.23 / $4,677.35	Professional		$2,041.74	$2,344.23	$4,677.35
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 $1,621.81 / $2,398.83 / $4,073.80	Professional		$1,621.81	$2,398.83	$4,073.80