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 $691.83 / $891.25 / $1,862.09	Professional		$691.83	$891.25	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,621.81	Professional		$676.08	$891.25	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $977.24	Facility		$812.83	$831.76	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $21,379.62	Facility		$691.83	$954.99	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,096.48 / $1,659.59	Professional		$389.05	$1,096.48	$1,659.59
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 / $1,148.15 / $1,737.80	Professional		$389.05	$1,148.15	$1,737.80
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 / $6,165.95	Facility		$100.00	$100.00	$6,165.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,778.28	Professional		$794.33	$933.25	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,513.56	Professional		$724.44	$954.99	$1,513.56