Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $8,912.51 / $13,182.57	Facility		$1,513.56	$8,912.51	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $8,317.64	Professional		$758.58	$933.25	$8,317.64
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 $707.95 / $870.96 / $1,548.82	Professional		$707.95	$870.96	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $812.83 / $912.01	Facility		$758.58	$812.83	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $21,379.62	Facility		$676.08	$977.24	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,071.52 / $1,621.81	Professional		$389.05	$1,071.52	$1,621.81
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 / $1,071.52 / $1,621.81	Professional		$389.05	$1,071.52	$1,621.81
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 $741.31 / $870.96 / $1,621.81	Professional		$741.31	$870.96	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,265.80 / $7,244.36	Facility		$2,454.71	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,513.56	Professional		$691.83	$912.01	$1,513.56