Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $8,912.51 / $11,748.98	Facility		$707.95	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,737.80	Professional		$602.56	$707.95	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,348.96	Professional		$602.56	$758.58	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $660.69 / $741.31	Facility		$616.60	$660.69	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $21,379.62	Facility		$549.54	$794.33	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $851.14 / $1,318.26	Professional		$194.98	$851.14	$1,318.26
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 $194.98 / $851.14 / $1,318.26	Professional		$194.98	$851.14	$1,318.26
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 / $2,570.40	Facility		$100.00	$100.00	$2,570.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,348.96	Professional		$602.56	$707.95	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,244.36	Facility		$2,238.72	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,230.27	Professional		$575.44	$776.25	$1,230.27