Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,888.44 / $10,964.78	Facility		$1,621.81	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $6,456.54	Professional		$891.25	$1,122.02	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,778.28	Professional		$794.33	$1,000.00	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
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 $933.25 / $1,174.90 / $1,995.26	Professional		$933.25	$1,174.90	$1,995.26
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 $891.25 / $1,174.90 / $1,905.46	Professional		$891.25	$1,174.90	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $2,137.96	Professional		$912.01	$1,071.52	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $10,964.78	Facility		$3,890.45	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,778.28	Professional		$812.83	$1,047.13	$1,778.28