Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $8,912.51 / $11,748.98	Facility		$2,454.71	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $4,897.79	Professional		$2,041.74	$2,398.83	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $9,549.93 / $21,379.62	Facility		$2,238.72	$9,549.93	$21,379.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,981.07	Professional		$1,905.46	$2,398.83	$3,981.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $2,754.23	Facility		$2,137.96	$2,187.76	$2,754.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,630.27	Professional		$2,344.23	$2,344.23	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,801.89 / $3,801.89	Facility		$34.67	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $5,011.87	Professional		$1,737.80	$2,951.21	$5,011.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,801.89 / $21,379.62	Facility		$602.56	$3,801.89	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,818.38 / $4,677.35	Professional		$660.69	$2,818.38	$4,677.35
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,897.79	Professional		$2,187.76	$2,570.40	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $4,073.80	Professional		$1,819.70	$2,511.89	$4,073.80