Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,585.78 / $12,022.64	Facility		$1,698.24	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $6,309.57	Professional		$831.76	$1,023.29	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,918.31 / $15,135.61	Facility		$2,238.72	$6,918.31	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,737.80	Professional		$812.83	$1,023.29	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $891.25 / $1,000.00	Facility		$851.14	$891.25	$1,000.00
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 $389.05 / $1,174.90 / $1,819.70	Professional		$389.05	$1,174.90	$1,819.70
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 $389.05 / $1,174.90 / $1,819.70	Professional		$389.05	$1,174.90	$1,819.70
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 $831.76 / $954.99 / $1,819.70	Professional		$831.76	$954.99	$1,819.70
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 $794.33 / $1,023.29 / $1,659.59	Professional		$794.33	$1,023.29	$1,659.59