Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $8,912.51 / $11,748.98	Facility		$1,380.38	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $3,235.94	Professional		$1,148.15	$1,380.38	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $20,417.38	Facility		$2,511.89	$9,549.93	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,398.83	Professional		$1,047.13	$1,380.38	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,479.11	Facility		$1,230.27	$1,288.25	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $21,379.62	Facility		$1,071.52	$1,412.54	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,659.59 / $2,570.40	Professional		$457.09	$1,659.59	$2,570.40
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 / $1,659.59 / $2,570.40	Professional		$457.09	$1,659.59	$2,570.40
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 $1,258.93 / $1,479.11 / $2,754.23	Professional		$1,258.93	$1,479.11	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,220.18 / $15,848.93	Facility		$5,370.32	$11,220.18	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,570.40	Professional		$1,122.02	$1,445.44	$2,570.40