Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $8,912.51 / $11,748.98	Facility		$1,412.54	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,630.27	Professional		$1,122.02	$1,348.96	$2,630.27
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 $1,000.00 / $1,202.26 / $1,995.26	Professional		$1,000.00	$1,202.26	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,548.82	Facility		$1,202.26	$1,230.27	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Professional		$1,318.26	$1,318.26	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,137.96 / $2,137.96	Facility		$34.67	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,754.23	Professional		$977.24	$1,584.89	$2,754.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,137.96 / $21,379.62	Facility		$426.58	$2,137.96	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,584.89 / $2,570.40	Professional		$660.69	$1,584.89	$2,570.40
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 $1,202.26 / $1,412.54 / $2,691.53	Professional		$1,202.26	$1,412.54	$2,691.53
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 $977.24 / $1,348.96 / $2,238.72	Professional		$977.24	$1,348.96	$2,238.72