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 / $1,318.26 / $3,715.35	Professional		$1,071.52	$1,318.26	$3,715.35
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 / $1,318.26 / $2,238.72	Professional		$1,047.13	$1,318.26	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,318.26	Facility		$1,096.48	$1,148.15	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $21,379.62	Facility		$977.24	$1,479.11	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,513.56 / $2,344.23	Professional		$457.09	$1,513.56	$2,344.23
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 / $2,344.23	Professional		$457.09	$1,513.56	$2,344.23
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 $1,071.52 / $1,258.93 / $2,344.23	Professional		$1,071.52	$1,258.93	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,025.60 / $8,511.38	Facility		$2,951.21	$6,025.60	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,187.76	Professional		$1,023.29	$1,348.96	$2,187.76