Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $8,912.51 / $11,748.98	Facility		$2,454.71	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $6,456.54	Professional		$2,089.30	$2,630.27	$6,456.54
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 $2,187.76 / $2,691.53 / $4,677.35	Professional		$2,187.76	$2,691.53	$4,677.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,344.23 / $2,818.38	Facility		$2,290.87	$2,344.23	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $21,379.62	Facility		$1,905.46	$2,691.53	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $3,235.94 / $5,011.87	Professional		$724.44	$3,235.94	$5,011.87
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 / $3,235.94 / $5,128.61	Professional		$724.44	$3,235.94	$5,128.61
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 $2,398.83 / $2,818.38 / $5,248.07	Professional		$2,398.83	$2,818.38	$5,248.07
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 $2,137.96 / $2,884.03 / $4,570.88	Professional		$2,137.96	$2,884.03	$4,570.88