Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $10,964.78	Facility		$2,398.83	$6,456.54	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $5,623.41	Professional		$1,995.26	$2,398.83	$5,623.41
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 $1,819.70 / $2,290.87 / $3,715.35	Professional		$1,819.70	$2,290.87	$3,715.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,754.23	Facility		$2,089.30	$2,137.96	$2,754.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,630.27	Professional		$2,344.23	$2,344.23	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,801.89 / $3,801.89	Facility		$34.67	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $4,786.30	Professional		$1,659.59	$2,818.38	$4,786.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,801.89 / $21,379.62	Facility		$426.58	$3,801.89	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $2,754.23 / $4,466.84	Professional		$549.54	$2,754.23	$4,466.84
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 $2,137.96 / $2,511.89 / $4,677.35	Professional		$2,137.96	$2,511.89	$4,677.35
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 $1,778.28 / $2,398.83 / $3,981.07	Professional		$1,778.28	$2,398.83	$3,981.07