Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $8,912.51 / $11,748.98	Facility		$1,174.90	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,884.03	Professional		$1,000.00	$1,202.26	$2,884.03
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 $977.24 / $1,202.26 / $2,137.96	Professional		$977.24	$1,202.26	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,230.27	Facility		$1,023.29	$1,071.52	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $21,379.62	Facility		$891.25	$1,380.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,412.54 / $2,187.76	Professional		$389.05	$1,412.54	$2,187.76
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 / $1,412.54 / $2,187.76	Professional		$389.05	$1,412.54	$2,187.76
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 $1,000.00 / $1,148.15 / $2,187.76	Professional		$1,000.00	$1,148.15	$2,187.76
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 $954.99 / $1,288.25 / $2,041.74	Professional		$954.99	$1,288.25	$2,041.74