Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $8,912.51 / $11,748.98	Facility		$3,090.30	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $6,025.60	Professional		$2,511.89	$3,090.30	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,309.57 / $15,135.61	Facility		$1,698.24	$6,309.57	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $4,677.35	Professional		$2,344.23	$2,884.03	$4,677.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,754.23 / $3,548.13	Facility		$2,691.53	$2,754.23	$3,548.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,388.44	Professional		$3,019.95	$3,019.95	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,897.79 / $4,897.79	Facility		$34.67	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $6,165.95	Professional		$2,238.72	$3,630.78	$6,165.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $4,897.79 / $21,379.62	Facility		$426.58	$4,897.79	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $3,548.13 / $5,888.44	Professional		$660.69	$3,548.13	$5,888.44
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 $2,691.53 / $3,162.28 / $6,025.60	Professional		$2,691.53	$3,162.28	$6,025.60
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 $2,238.72 / $3,090.30 / $5,128.61	Professional		$2,238.72	$3,090.30	$5,128.61