Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,754.40 / $10,964.78	Facility		$1,148.15	$5,754.40	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $4,265.80	Professional		$660.69	$812.83	$4,265.80
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 $630.96 / $794.33 / $1,380.38	Professional		$630.96	$794.33	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $724.44 / $812.83	Facility		$676.08	$724.44	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $21,379.62	Facility		$602.56	$933.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $954.99 / $1,445.44	Professional		$194.98	$954.99	$1,445.44
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 / $954.99 / $1,445.44	Professional		$194.98	$954.99	$1,445.44
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 $660.69 / $776.25 / $1,479.11	Professional		$660.69	$776.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,606.93 / $10,964.78	Facility		$3,801.89	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,288.25	Professional		$616.60	$812.83	$1,288.25