Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $8,912.51 / $11,748.98	Facility		$1,513.56	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $3,467.37	Professional		$1,230.27	$1,513.56	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $21,379.62	Facility		$2,511.89	$9,549.93	$21,379.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,630.27	Professional		$1,230.27	$1,513.56	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,513.56	Facility		$1,258.93	$1,348.96	$1,513.56
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 / $1,778.28 / $2,691.53	Professional		$389.05	$1,778.28	$2,691.53
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 / $1,778.28 / $2,691.53	Professional		$389.05	$1,778.28	$2,691.53
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 $1,230.27 / $1,445.44 / $2,691.53	Professional		$1,230.27	$1,445.44	$2,691.53
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 $1,174.90 / $1,548.82 / $2,454.71	Professional		$1,174.90	$1,548.82	$2,454.71