Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,888.44 / $10,964.78	Facility		$891.25	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $4,265.80	Professional		$457.09	$537.03	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $933.25	Professional		$398.11	$524.81	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $602.56	Facility		$501.19	$512.86	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $21,379.62	Facility		$436.52	$537.03	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $660.69 / $1,023.29	Professional		$331.13	$660.69	$1,023.29
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 $331.13 / $660.69 / $1,047.13	Professional		$331.13	$660.69	$1,047.13
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 / $4,786.30	Facility		$100.00	$100.00	$4,786.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,174.90	Professional		$524.81	$616.60	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,000.00	Professional		$426.58	$562.34	$1,000.00