Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,606.93 / $12,022.64	Facility		$1,122.02	$6,606.93	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $2,238.72	Professional		$660.69	$812.83	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,388.44 / $15,135.61	Facility		$1,071.52	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,202.26	Professional		$602.56	$741.31	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $776.25 / $2,137.96	Facility		$707.95	$776.25	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $870.96	Professional		$776.25	$776.25	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $3,467.37	Facility		$602.56	$1,258.93	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,621.81	Professional		$616.60	$954.99	$1,621.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $3,467.37	Facility		$691.83	$1,258.93	$3,467.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,513.56	Professional		$562.34	$933.25	$1,513.56
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 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,584.89	Professional		$724.44	$851.14	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $8,511.38	Facility		$933.25	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,318.26	Professional		$588.84	$794.33	$1,318.26