Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,585.78 / $13,803.84	Facility		$1,445.44	$7,585.78	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $5,370.32 / $9,549.93	Professional		$776.25	$5,370.32	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,079.46 / $30,199.52	Facility		$2,187.76	$7,079.46	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,981.07 / $8,912.51	Professional		$954.99	$3,981.07	$8,912.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $776.25 / $870.96	Facility		$724.44	$776.25	$870.96
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 $660.69 / $1,659.59 / $10,000.00	Professional		$660.69	$1,659.59	$10,000.00
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 $660.69 / $1,698.24 / $10,232.93	Professional		$660.69	$1,698.24	$10,232.93
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 / $11,748.98	Facility		$100.00	$100.00	$11,748.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $5,495.41 / $10,471.29	Professional		$707.95	$5,495.41	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,220.18 / $16,218.10	Facility		$5,370.32	$11,220.18	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,621.81 / $9,332.54	Professional		$758.58	$1,621.81	$9,332.54