Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $6,456.54 / $10,964.78	Facility		$1,621.81	$6,456.54	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $6,456.54	Professional		$354.81	$436.52	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $630.96	Professional		$316.23	$371.54	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $457.09 / $524.81	Facility		$436.52	$457.09	$524.81
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 $169.82 / $512.86 / $812.83	Professional		$169.82	$512.86	$812.83
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 $169.82 / $489.78 / $794.33	Professional		$169.82	$489.78	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $11,748.98	Facility		$100.00	$100.00	$11,748.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $7,413.10	Facility		$2,570.40	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $741.31	Professional		$338.84	$467.74	$741.31