Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $8,912.51 / $11,748.98	Facility		$1,778.28	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $4,265.80	Professional		$1,479.11	$1,862.09	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $12,302.69 / $30,199.52	Facility		$3,388.44	$12,302.69	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,090.30	Professional		$1,412.54	$1,819.70	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $1,995.26	Facility		$1,621.81	$1,698.24	$1,995.26
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 $724.44 / $2,238.72 / $3,467.37	Professional		$724.44	$2,238.72	$3,467.37
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 / $2,238.72 / $3,548.13	Professional		$724.44	$2,238.72	$3,548.13
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 $1,698.24 / $1,995.26 / $3,801.89	Professional		$1,698.24	$1,995.26	$3,801.89
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 $1,513.56 / $1,995.26 / $3,235.94	Professional		$1,513.56	$1,995.26	$3,235.94