Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $8,912.51 / $11,748.98	Facility		$1,202.26	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $2,951.21	Professional		$1,047.13	$1,202.26	$2,951.21
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 $1,000.00 / $1,202.26 / $2,137.96	Professional		$1,000.00	$1,202.26	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,258.93	Facility		$1,047.13	$1,096.48	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $21,379.62	Facility		$912.01	$1,412.54	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,445.44 / $2,238.72	Professional		$457.09	$1,445.44	$2,238.72
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 / $1,445.44 / $2,238.72	Professional		$457.09	$1,445.44	$2,238.72
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 $1,023.29 / $1,174.90 / $2,238.72	Professional		$1,023.29	$1,174.90	$2,238.72
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 $977.24 / $1,288.25 / $2,089.30	Professional		$977.24	$1,288.25	$2,089.30