Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $10,715.19	Facility		$1,412.54	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,884.03	Professional		$933.25	$1,122.02	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,019.95 / $7,244.36	Facility		$954.99	$3,019.95	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,698.24	Professional		$831.76	$1,047.13	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,737.80	Facility		$977.24	$1,071.52	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,230.27	Professional		$1,071.52	$1,071.52	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,698.24 / $2,137.96	Facility		$512.86	$1,698.24	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,238.72	Professional		$831.76	$1,318.26	$2,238.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,737.80 / $2,818.38	Facility		$512.86	$1,737.80	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,288.25 / $2,089.30	Professional		$645.65	$1,288.25	$2,089.30
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 / $3,388.44	Facility		$100.00	$100.00	$3,388.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,238.72	Professional		$1,000.00	$1,174.90	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,168.69 / $7,244.36	Facility		$794.33	$4,168.69	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,862.09	Professional		$812.83	$1,096.48	$1,862.09