Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $8,912.51 / $11,748.98	Facility		$851.14	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,949.84	Professional		$707.95	$851.14	$1,949.84
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 $660.69 / $831.76 / $1,513.56	Professional		$660.69	$831.76	$1,513.56
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 $660.69 / $912.01 / $21,379.62	Facility		$660.69	$912.01	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,000.00 / $1,584.89	Professional		$389.05	$1,000.00	$1,584.89
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 $389.05 / $1,047.13 / $1,621.81	Professional		$389.05	$1,047.13	$1,621.81
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 $724.44 / $831.76 / $1,584.89	Professional		$724.44	$831.76	$1,584.89
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 $691.83 / $891.25 / $1,621.81	Professional		$691.83	$891.25	$1,621.81