Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,912.51 / $11,748.98	Facility		$3,890.45	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $7,762.47	Professional		$3,162.28	$3,801.89	$7,762.47
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 $2,691.53 / $3,467.37 / $5,623.41	Professional		$2,691.53	$3,467.37	$5,623.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,467.37 / $4,365.16	Facility		$3,388.44	$3,467.37	$4,365.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,168.69	Professional		$3,715.35	$3,715.35	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,801.89 / $6,025.60	Facility		$34.67	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $7,762.47	Professional		$2,511.89	$4,466.84	$7,762.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $6,025.60 / $21,379.62	Facility		$426.58	$6,025.60	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $4,365.16 / $7,079.46	Professional		$660.69	$4,365.16	$7,079.46
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 $3,388.44 / $3,981.07 / $7,585.78	Professional		$3,388.44	$3,981.07	$7,585.78
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 $2,818.38 / $3,801.89 / $6,309.57	Professional		$2,818.38	$3,801.89	$6,309.57