Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $8,912.51 / $11,748.98	Facility		$2,454.71	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $4,466.84	Professional		$1,905.46	$2,344.23	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,456.54 / $15,135.61	Facility		$1,698.24	$6,456.54	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,388.44	Professional		$1,513.56	$2,089.30	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,630.27	Facility		$2,041.74	$2,089.30	$2,630.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,570.40	Professional		$2,238.72	$2,238.72	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $3,630.78	Facility		$34.67	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $4,677.35	Professional		$1,479.11	$2,754.23	$4,677.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,630.78 / $21,379.62	Facility		$426.58	$3,630.78	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,630.27 / $4,466.84	Professional		$660.69	$2,630.27	$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 $2,041.74 / $2,398.83 / $4,570.88	Professional		$2,041.74	$2,398.83	$4,570.88
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 $1,698.24 / $2,344.23 / $3,890.45	Professional		$1,698.24	$2,344.23	$3,890.45