Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $8,912.51 / $11,748.98	Facility		$1,445.44	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,818.38	Professional		$1,148.15	$1,380.38	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $14,791.08	Facility		$1,698.24	$5,248.07	$14,791.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,949.84	Professional		$977.24	$1,230.27	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,584.89	Facility		$1,202.26	$1,230.27	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,513.56	Professional		$1,348.96	$1,348.96	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $2,187.76	Facility		$34.67	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,754.23	Professional		$1,000.00	$1,621.81	$2,754.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,187.76 / $21,379.62	Facility		$426.58	$2,187.76	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,584.89 / $2,570.40	Professional		$562.34	$1,584.89	$2,570.40
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 $1,230.27 / $1,445.44 / $2,754.23	Professional		$1,230.27	$1,445.44	$2,754.23
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 $1,000.00 / $1,348.96 / $2,290.87	Professional		$1,000.00	$1,348.96	$2,290.87