Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,630.78 / $10,715.19	Facility		$1,071.52	$3,630.78	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $3,019.95	Professional		$524.81	$645.65	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $16,982.44	Facility		$1,995.26	$3,548.13	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,047.13	Professional		$489.78	$602.56	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $562.34 / $630.96	Facility		$524.81	$562.34	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $21,379.62	Facility		$467.74	$707.95	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $741.31 / $1,122.02	Professional		$194.98	$741.31	$1,122.02
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 / $741.31 / $1,122.02	Professional		$194.98	$741.31	$1,122.02
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 $524.81 / $616.60 / $1,148.15	Professional		$524.81	$616.60	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,047.13	Professional		$489.78	$645.65	$1,047.13