Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,912.51 / $11,748.98	Facility		$1,819.70	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,168.69	Professional		$1,479.11	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $20,892.96	Facility		$2,511.89	$9,549.93	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $3,090.30	Professional		$1,445.44	$1,737.80	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $1,819.70	Facility		$1,513.56	$1,621.81	$1,819.70
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 $457.09 / $2,089.30 / $3,235.94	Professional		$457.09	$2,089.30	$3,235.94
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 $457.09 / $2,089.30 / $3,235.94	Professional		$457.09	$2,089.30	$3,235.94
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $3,235.94	Professional		$1,479.11	$1,737.80	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,951.21	Professional		$1,412.54	$1,862.09	$2,951.21