Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $8,912.51 / $11,748.98	Facility		$2,290.87	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $6,025.60	Professional		$1,905.46	$2,398.83	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $12,022.64 / $30,199.52	Facility		$3,388.44	$12,022.64	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $4,365.16	Professional		$1,995.26	$2,454.71	$4,365.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,511.89	Facility		$2,089.30	$2,137.96	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $21,379.62	Facility		$1,737.80	$2,398.83	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,951.21 / $4,466.84	Professional		$724.44	$2,951.21	$4,466.84
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 $724.44 / $2,951.21 / $4,570.88	Professional		$724.44	$2,951.21	$4,570.88
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 Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $4,786.30	Professional		$2,187.76	$2,511.89	$4,786.30
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 $1,949.84 / $2,691.53 / $4,168.69	Professional		$1,949.84	$2,691.53	$4,168.69