Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,585.78 / $12,022.64	Facility		$1,479.11	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $2,290.87	Professional		$691.83	$831.76	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,128.61 / $21,877.62	Facility		$1,412.54	$5,128.61	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,288.25	Professional		$645.65	$794.33	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $954.99	Facility		$724.44	$758.58	$954.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $912.01	Professional		$812.83	$812.83	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $851.14 / $1,318.26	Facility		$34.67	$851.14	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,698.24	Professional		$630.96	$1,000.00	$1,698.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,318.26 / $1,318.26	Facility		$575.44	$1,318.26	$1,318.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,584.89	Professional		$575.44	$977.24	$1,584.89
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 $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,659.59	Professional		$741.31	$870.96	$1,659.59
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 $616.60 / $831.76 / $1,380.38	Professional		$616.60	$831.76	$1,380.38