Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $8,912.51 / $11,748.98	Facility		$851.14	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $2,089.30	Professional		$724.44	$831.76	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,513.56	Professional		$707.95	$851.14	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $776.25 / $891.25	Facility		$741.31	$776.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $21,379.62	Facility		$645.65	$1,000.00	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,023.29 / $1,584.89	Professional		$389.05	$1,023.29	$1,584.89
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 / $1,023.29 / $1,584.89	Professional		$389.05	$1,023.29	$1,584.89
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 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,584.89	Professional		$724.44	$851.14	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,479.11	Professional		$691.83	$912.01	$1,479.11