Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $8,912.51 / $11,748.98	Facility		$1,071.52	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,630.27	Professional		$933.25	$1,096.48	$2,630.27
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 $891.25 / $1,071.52 / $1,905.46	Professional		$891.25	$1,071.52	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $977.24 / $1,122.02	Facility		$933.25	$977.24	$1,122.02
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 / $1,258.93 / $1,995.26	Professional		$457.09	$1,258.93	$1,995.26
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 / $1,288.25 / $1,995.26	Professional		$457.09	$1,288.25	$1,995.26
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 $912.01 / $1,071.52 / $1,995.26	Professional		$912.01	$1,071.52	$1,995.26
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 $870.96 / $1,148.15 / $1,862.09	Professional		$870.96	$1,148.15	$1,862.09