Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,120.11 / $12,022.64	Facility		$5,128.61	$9,120.11	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,888.44 / $11,748.98	Professional		$5,248.07	$5,888.44	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $11,481.54 / $24,547.09	Facility		$2,818.38	$11,481.54	$24,547.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,495.41 / $10,471.29	Professional		$3,235.94	$5,495.41	$10,471.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,623.41 / $6,606.93	Facility		$5,495.41	$5,623.41	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,760.83 / $21,379.62	Facility		$4,677.35	$6,760.83	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $7,585.78 / $11,748.98	Professional		$457.09	$7,585.78	$11,748.98
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 $457.09 / $7,585.78 / $12,022.64	Professional		$457.09	$7,585.78	$12,022.64
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 $5,495.41 / $6,456.54 / $12,302.69	Professional		$5,495.41	$6,456.54	$12,302.69
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 $5,011.87 / $6,606.93 / $10,964.78	Professional		$5,011.87	$6,606.93	$10,964.78