Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $8,912.51 / $11,748.98	Facility		$1,621.81	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,019.95	Professional		$1,318.26	$1,548.82	$3,019.95
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 $1,202.26 / $1,479.11 / $2,398.83	Professional		$1,202.26	$1,479.11	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,778.28	Facility		$1,348.96	$1,380.38	$1,778.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,698.24	Professional		$1,513.56	$1,513.56	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,737.80 / $2,454.71	Facility		$34.67	$1,737.80	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $3,162.28	Professional		$1,122.02	$1,862.09	$3,162.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,454.71 / $21,379.62	Facility		$426.58	$2,454.71	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,819.70 / $2,951.21	Professional		$660.69	$1,819.70	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
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 $1,412.54 / $1,659.59 / $3,162.28	Professional		$1,412.54	$1,659.59	$3,162.28
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 $1,148.15 / $1,584.89 / $2,570.40	Professional		$1,148.15	$1,584.89	$2,570.40