Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,912.51 / $11,748.98	Facility		$2,511.89	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $4,677.35	Professional		$2,041.74	$2,454.71	$4,677.35
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 $1,698.24 / $2,137.96 / $3,548.13	Professional		$1,698.24	$2,137.96	$3,548.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,818.38	Facility		$2,187.76	$2,238.72	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,754.23	Professional		$2,398.83	$2,398.83	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $602.56 / $3,890.45	Facility		$34.67	$602.56	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $5,011.87	Professional		$1,737.80	$2,818.38	$5,011.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,890.45 / $3,890.45	Facility		$524.81	$3,890.45	$3,890.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,754.23 / $4,570.88	Professional		$660.69	$2,754.23	$4,570.88
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 $2,238.72 / $2,630.27 / $4,897.79	Professional		$2,238.72	$2,630.27	$4,897.79
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 / $4,073.80	Professional		$1,778.28	$2,398.83	$4,073.80