Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,079.46 / $12,022.64	Facility		$912.01	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $5,128.61	Professional		$489.78	$616.60	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $16,982.44	Facility		$2,238.72	$3,548.13	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,000.00	Professional		$467.74	$562.34	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $537.03 / $602.56	Facility		$501.19	$537.03	$602.56
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 / $691.83 / $1,071.52	Professional		$194.98	$691.83	$1,071.52
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 / $707.95 / $1,071.52	Professional		$194.98	$707.95	$1,071.52
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 $501.19 / $588.84 / $1,096.48	Professional		$501.19	$588.84	$1,096.48
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 $457.09 / $616.60 / $954.99	Professional		$457.09	$616.60	$954.99