Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $8,912.51 / $11,748.98	Facility		$1,412.54	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $3,235.94	Professional		$1,202.26	$1,479.11	$3,235.94
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 $1,174.90 / $1,412.54 / $2,511.89	Professional		$1,174.90	$1,412.54	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $1,445.44	Facility		$1,202.26	$1,288.25	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $21,379.62	Facility		$1,071.52	$1,659.59	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,698.24 / $2,630.27	Professional		$389.05	$1,698.24	$2,630.27
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 / $1,698.24 / $2,630.27	Professional		$389.05	$1,698.24	$2,630.27
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 $1,174.90 / $1,380.38 / $2,630.27	Professional		$1,174.90	$1,380.38	$2,630.27
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 $1,148.15 / $1,513.56 / $2,454.71	Professional		$1,148.15	$1,513.56	$2,454.71