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 $512.86 / $645.65 / $5,370.32	Professional		$512.86	$645.65	$5,370.32
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 $794.33 / $1,071.52 / $1,862.09	Professional		$794.33	$1,071.52	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $549.54 / $630.96	Facility		$524.81	$549.54	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $870.96 / $21,379.62	Facility		$457.09	$870.96	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $724.44 / $1,122.02	Professional		$194.98	$724.44	$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 / $724.44 / $1,122.02	Professional		$194.98	$724.44	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
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 $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
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 $630.96 / $977.24 / $1,513.56	Professional		$630.96	$977.24	$1,513.56