Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,888.44 / $10,964.78	Facility		$1,071.52	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $4,265.80	Professional		$630.96	$776.25	$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 $602.56 / $812.83 / $1,445.44	Professional		$602.56	$812.83	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $707.95 / $812.83	Facility		$676.08	$707.95	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $21,379.62	Facility		$602.56	$812.83	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $912.01 / $1,412.54	Professional		$389.05	$912.01	$1,412.54
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 / $933.25 / $1,479.11	Professional		$389.05	$933.25	$1,479.11
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 $645.65 / $758.58 / $1,445.44	Professional		$645.65	$758.58	$1,445.44
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 $630.96 / $812.83 / $1,445.44	Professional		$630.96	$812.83	$1,445.44