Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,079.46 / $12,022.64	Facility		$1,513.56	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $7,413.10	Professional		$724.44	$912.01	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,570.88 / $16,982.44	Facility		$2,238.72	$4,570.88	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,621.81	Professional		$741.31	$933.25	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $831.76 / $933.25	Facility		$776.25	$831.76	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $21,379.62	Facility		$691.83	$977.24	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,071.52 / $1,659.59	Professional		$457.09	$1,071.52	$1,659.59
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 / $1,096.48 / $1,698.24	Professional		$457.09	$1,096.48	$1,698.24
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 / $6,165.95	Facility		$100.00	$100.00	$6,165.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,659.59	Professional		$758.58	$870.96	$1,659.59
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 $724.44 / $954.99 / $1,698.24	Professional		$724.44	$954.99	$1,698.24