Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,912.51 / $12,022.64	Facility		$4,168.69	$8,912.51	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $10,232.93	Professional		$3,548.13	$4,365.16	$10,232.93
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 $3,019.95 / $4,168.69 / $7,079.46	Professional		$3,019.95	$4,168.69	$7,079.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,073.80 / $4,786.30	Facility		$3,981.07	$4,073.80	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $21,379.62	Facility		$3,311.31	$4,168.69	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $5,370.32 / $7,943.28	Professional		$724.44	$5,370.32	$7,943.28
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 / $5,370.32 / $8,317.64	Professional		$724.44	$5,370.32	$8,317.64
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 $4,265.80 / $5,011.87 / $9,549.93	Professional		$4,265.80	$5,011.87	$9,549.93
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 $3,467.37 / $4,677.35 / $7,943.28	Professional		$3,467.37	$4,677.35	$7,943.28