Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,912.51 / $12,022.64	Facility		$2,691.53	$8,912.51	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $6,606.93	Professional		$2,290.87	$2,884.03	$6,606.93
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 $2,290.87 / $2,818.38 / $4,897.79	Professional		$2,290.87	$2,818.38	$4,897.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,019.95	Facility		$2,454.71	$2,570.40	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $21,379.62	Facility		$2,041.74	$2,818.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,467.37 / $5,370.32	Professional		$977.24	$3,467.37	$5,370.32
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 / $3,467.37 / $5,370.32	Professional		$977.24	$3,467.37	$5,370.32
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 $2,570.40 / $3,019.95 / $5,754.40	Professional		$2,570.40	$3,019.95	$5,754.40
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 $2,290.87 / $3,090.30 / $4,897.79	Professional		$2,290.87	$3,090.30	$4,897.79