Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $10,715.19	Facility		$977.24	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $3,019.95	Professional		$588.84	$724.44	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $16,982.44	Facility		$1,995.26	$3,388.44	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,230.27	Professional		$562.34	$691.83	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $645.65 / $724.44	Facility		$602.56	$645.65	$724.44
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 $194.98 / $812.83 / $1,288.25	Professional		$194.98	$812.83	$1,288.25
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 / $831.76 / $1,288.25	Professional		$194.98	$831.76	$1,288.25
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 / $6,606.93	Facility		$100.00	$100.00	$6,606.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,318.26	Professional		$588.84	$691.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,202.26	Professional		$562.34	$741.31	$1,202.26