Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,585.78 / $12,022.64	Facility		$1,949.84	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $6,165.95	Professional		$933.25	$1,148.15	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,949.84	Professional		$933.25	$1,148.15	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,148.15	Facility		$954.99	$1,023.29	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $21,379.62	Facility		$851.14	$1,318.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,348.96 / $2,041.74	Professional		$194.98	$1,348.96	$2,041.74
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 / $1,318.26 / $2,041.74	Professional		$194.98	$1,318.26	$2,041.74
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 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,089.30	Professional		$933.25	$1,096.48	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,819.70	Professional		$891.25	$1,174.90	$1,819.70