Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $8,912.51 / $11,748.98	Facility		$1,230.27	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,818.38	Professional		$1,000.00	$1,230.27	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,079.46 / $15,135.61	Facility		$2,238.72	$7,079.46	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,089.30	Professional		$1,000.00	$1,202.26	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,230.27	Facility		$1,023.29	$1,096.48	$1,230.27
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 $389.05 / $1,412.54 / $2,187.76	Professional		$389.05	$1,412.54	$2,187.76
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 $389.05 / $1,445.44 / $2,187.76	Professional		$389.05	$1,445.44	$2,187.76
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 $1,000.00 / $1,174.90 / $2,238.72	Professional		$1,000.00	$1,174.90	$2,238.72
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 $977.24 / $1,258.93 / $1,995.26	Professional		$977.24	$1,258.93	$1,995.26