Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $8,912.51 / $11,748.98	Facility		$1,023.29	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $2,511.89	Professional		$870.96	$1,023.29	$2,511.89
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 $851.14 / $1,047.13 / $1,819.70	Professional		$851.14	$1,047.13	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $933.25 / $1,047.13	Facility		$870.96	$933.25	$1,047.13
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 / $1,230.27 / $1,862.09	Professional		$389.05	$1,230.27	$1,862.09
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 / $1,230.27 / $1,862.09	Professional		$389.05	$1,230.27	$1,862.09
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 $851.14 / $1,000.00 / $1,905.46	Professional		$851.14	$1,000.00	$1,905.46
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 $812.83 / $1,071.52 / $1,737.80	Professional		$812.83	$1,071.52	$1,737.80