Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $8,912.51 / $12,882.50	Facility		$1,258.93	$8,912.51	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,862.09	Professional		$602.56	$707.95	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,079.46 / $30,199.52	Facility		$1,071.52	$7,079.46	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,122.02	Professional		$562.34	$724.44	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $691.83 / $8,912.51	Facility		$616.60	$691.83	$8,912.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $776.25	Professional		$691.83	$691.83	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,122.02 / $14,125.38	Facility		$34.67	$1,122.02	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,445.44	Professional		$537.03	$870.96	$1,445.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,122.02 / $14,125.38	Facility		$562.34	$1,122.02	$14,125.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,348.96	Professional		$512.86	$851.14	$1,348.96
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 / $13,182.57	Facility		$100.00	$100.00	$13,182.57
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,412.54	Professional		$645.65	$741.31	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $8,128.31 / $14,125.38	Facility		$1,288.25	$8,128.31	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,174.90	Professional		$537.03	$741.31	$1,174.90