Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $8,912.51 / $11,748.98	Facility		$1,174.90	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $2,884.03	Professional		$1,000.00	$1,148.15	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,585.78 / $18,620.87	Facility		$2,818.38	$7,585.78	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,995.26	Professional		$933.25	$1,122.02	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,230.27	Facility		$1,023.29	$1,071.52	$1,230.27
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 $389.05 / $1,380.38 / $2,187.76	Professional		$389.05	$1,380.38	$2,187.76
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 / $1,412.54 / $2,187.76	Professional		$389.05	$1,412.54	$2,187.76
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 $977.24 / $1,122.02 / $2,137.96	Professional		$977.24	$1,122.02	$2,137.96
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 $933.25 / $1,258.93 / $1,995.26	Professional		$933.25	$1,258.93	$1,995.26