Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,079.46 / $11,748.98	Facility		$1,122.02	$7,079.46	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $6,165.95	Professional		$707.95	$891.25	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $21,877.62	Facility		$2,570.40	$4,897.79	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,584.89	Professional		$691.83	$891.25	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $794.33 / $912.01	Facility		$758.58	$794.33	$912.01
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 $389.05 / $1,047.13 / $1,584.89	Professional		$389.05	$1,047.13	$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 / $13,182.57	Facility		$100.00	$100.00	$13,182.57
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,584.89	Professional		$724.44	$851.14	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,621.81	Professional		$691.83	$933.25	$1,621.81