Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $8,912.51 / $11,748.98	Facility		$1,174.90	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,513.56	Professional		$794.33	$794.33	$1,513.56
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 $724.44 / $891.25 / $1,621.81	Professional		$724.44	$891.25	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $977.24	Facility		$741.31	$891.25	$977.24
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 $331.13 / $457.09 / $1,148.15	Professional		$331.13	$457.09	$1,148.15
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 $331.13 / $457.09 / $1,122.02	Professional		$331.13	$457.09	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
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 $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
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 $851.14 / $1,148.15 / $1,819.70	Professional		$851.14	$1,148.15	$1,819.70