Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $8,912.51 / $11,748.98	Facility		$1,412.54	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,467.37	Professional		$1,174.90	$1,479.11	$3,467.37
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 $1,174.90 / $1,479.11 / $2,570.40	Professional		$1,174.90	$1,479.11	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $1,584.89	Facility		$1,318.26	$1,348.96	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $21,379.62	Facility		$1,071.52	$1,479.11	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,778.28 / $2,754.23	Professional		$977.24	$1,778.28	$2,754.23
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 $977.24 / $1,778.28 / $2,818.38	Professional		$977.24	$1,778.28	$2,818.38
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,090.30	Professional		$1,380.38	$1,621.81	$3,090.30
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 $1,202.26 / $1,584.89 / $2,570.40	Professional		$1,202.26	$1,584.89	$2,570.40