Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $6,606.93 / $11,748.98	Facility		$912.01	$6,606.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,513.56	Professional		$870.96	$1,023.29	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $707.95	Professional		$309.03	$398.11	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $21,379.62	Facility		$707.95	$707.95	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,047.13 / $1,698.24	Professional		$426.58	$1,047.13	$1,698.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $676.08 / $21,379.62	Facility		$436.52	$676.08	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,047.13 / $1,778.28	Professional		$436.52	$1,047.13	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $138.04 / $186.21	Professional		$33.11	$138.04	$186.21
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $407.38	Facility		$100.00	$100.00	$407.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $338.84	Professional		$144.54	$177.83	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $323.59 / $501.19	Professional		$151.36	$323.59	$501.19