Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,912.51 / $11,748.98	Facility		$1,995.26	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $4,897.79	Professional		$1,698.24	$1,995.26	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $20,892.96	Facility		$2,511.89	$9,549.93	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,548.13	Professional		$1,659.59	$2,041.74	$3,548.13
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 $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,344.23 / $3,715.35	Professional		$524.81	$2,344.23	$3,715.35
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 $524.81 / $2,398.83 / $3,715.35	Professional		$524.81	$2,398.83	$3,715.35
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 / $3,715.35	Professional		$1,659.59	$1,949.84	$3,715.35
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 $1,621.81 / $2,089.30 / $3,467.37	Professional		$1,621.81	$2,089.30	$3,467.37