Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,888.44 / $10,964.78	Facility		$1,023.29	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $6,456.54	Professional		$524.81	$645.65	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,071.52	Professional		$501.19	$645.65	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $21,379.62	Facility		$436.52	$436.52	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,096.48	Professional		$524.81	$724.44	$1,096.48
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 $549.54 / $741.31 / $1,096.48	Professional		$549.54	$741.31	$1,096.48
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 / $3,890.45	Facility		$100.00	$100.00	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $1,174.90	Professional		$501.19	$616.60	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $4,073.80	Facility		$1,096.48	$1,949.84	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,047.13	Professional		$537.03	$724.44	$1,047.13