Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,606.93 / $11,748.98	Facility		$776.25	$6,606.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,819.70	Professional		$660.69	$776.25	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,445.44	Professional		$660.69	$831.76	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $707.95 / $794.33	Facility		$676.08	$707.95	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $933.25 / $21,379.62	Facility		$588.84	$933.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $933.25 / $1,445.44	Professional		$457.09	$933.25	$1,445.44
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 / $933.25 / $1,445.44	Professional		$457.09	$933.25	$1,445.44
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 / $6,606.93	Facility		$100.00	$100.00	$6,606.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,412.54	Professional		$645.65	$758.58	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,606.93 / $10,964.78	Facility		$3,801.89	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,348.96	Professional		$630.96	$851.14	$1,348.96