Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,585.78 / $12,022.64	Facility		$1,202.26	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $6,309.57	Professional		$691.83	$851.14	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,888.44 / $30,199.52	Facility		$2,137.96	$5,888.44	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,445.44	Professional		$676.08	$812.83	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $794.33 / $891.25	Facility		$741.31	$794.33	$891.25
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 $263.03 / $1,000.00 / $1,548.82	Professional		$263.03	$1,000.00	$1,548.82
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 $263.03 / $1,023.29 / $1,584.89	Professional		$263.03	$1,023.29	$1,584.89
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 / $9,120.11	Facility		$100.00	$100.00	$9,120.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,584.89	Professional		$724.44	$831.76	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,584.89	Professional		$660.69	$870.96	$1,584.89