Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $8,912.51 / $11,748.98	Facility		$1,949.84	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $6,606.93	Professional		$1,698.24	$2,041.74	$6,606.93
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 $1,621.81 / $1,995.26 / $3,467.37	Professional		$1,621.81	$1,995.26	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $2,041.74	Facility		$1,698.24	$1,819.70	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $21,379.62	Facility		$1,513.56	$2,290.87	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $2,344.23 / $3,630.78	Professional		$389.05	$2,344.23	$3,630.78
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 / $2,344.23 / $3,630.78	Professional		$389.05	$2,344.23	$3,630.78
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 $1,659.59 / $1,949.84 / $3,630.78	Professional		$1,659.59	$1,949.84	$3,630.78
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 $1,584.89 / $2,089.30 / $3,388.44	Professional		$1,584.89	$2,089.30	$3,388.44