Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,888.44 / $10,964.78	Facility		$891.25	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $4,265.80	Professional		$436.52	$537.03	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,918.31 / $30,199.52	Facility		$2,137.96	$6,918.31	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $870.96	Professional		$407.38	$501.19	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $562.34	Facility		$467.74	$501.19	$562.34
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 / $630.96 / $977.24	Professional		$263.03	$630.96	$977.24
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 / $645.65 / $1,000.00	Professional		$263.03	$645.65	$1,000.00
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 $457.09 / $537.03 / $1,023.29	Professional		$457.09	$537.03	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $10,964.78	Facility		$3,890.45	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $977.24	Professional		$416.87	$537.03	$977.24