Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $8,912.51 / $11,748.98	Facility		$1,258.93	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $3,090.30	Professional		$1,071.52	$1,258.93	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $20,892.96	Facility		$2,511.89	$9,549.93	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,187.76	Professional		$1,047.13	$1,258.93	$2,187.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,288.25	Facility		$1,071.52	$1,148.15	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,479.11 / $2,290.87	Professional		$457.09	$1,479.11	$2,290.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,513.56 / $2,290.87	Professional		$457.09	$1,513.56	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$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 $1,047.13 / $1,230.27 / $2,344.23	Professional		$1,047.13	$1,230.27	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,137.96	Professional		$1,000.00	$1,318.26	$2,137.96