Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,912.51 / $11,748.98	Facility		$1,995.26	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $4,466.84	Professional		$1,584.89	$1,862.09	$4,466.84
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 $1,548.82 / $1,949.84 / $3,388.44	Professional		$1,548.82	$1,949.84	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,778.28 / $2,089.30	Facility		$1,737.80	$1,778.28	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $21,379.62	Facility		$1,479.11	$1,995.26	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,344.23 / $3,548.13	Professional		$524.81	$2,344.23	$3,548.13
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 $524.81 / $2,344.23 / $3,630.78	Professional		$524.81	$2,344.23	$3,630.78
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 $1,698.24 / $1,995.26 / $3,715.35	Professional		$1,698.24	$1,995.26	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,715.35	Professional		$1,548.82	$2,041.74	$3,715.35