Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $10,715.19	Facility		$1,096.48	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $2,511.89	Professional		$562.34	$691.83	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $16,982.44	Facility		$2,238.72	$3,388.44	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,230.27	Professional		$562.34	$691.83	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $602.56 / $676.08	Facility		$562.34	$602.56	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $21,379.62	Facility		$501.19	$794.33	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,230.27	Professional		$457.09	$794.33	$1,230.27
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 / $794.33 / $1,230.27	Professional		$457.09	$794.33	$1,230.27
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 $549.54 / $645.65 / $1,202.26	Professional		$549.54	$645.65	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,148.15	Professional		$537.03	$724.44	$1,148.15