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 / $2,511.89 / $4,897.79	Professional		$2,041.74	$2,511.89	$4,897.79
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 $1,621.81 / $2,290.87 / $3,715.35	Professional		$1,621.81	$2,290.87	$3,715.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,884.03	Facility		$2,187.76	$2,238.72	$2,884.03
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 / $3,890.45 / $3,890.45	Facility		$34.67	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $5,011.87	Professional		$1,479.11	$2,951.21	$5,011.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,890.45 / $21,379.62	Facility		$426.58	$3,890.45	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,818.38 / $4,786.30	Professional		$660.69	$2,818.38	$4,786.30
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 $2,187.76 / $2,570.40 / $4,897.79	Professional		$2,187.76	$2,570.40	$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 $1,862.09 / $2,511.89 / $4,168.69	Professional		$1,862.09	$2,511.89	$4,168.69