Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $3,388.44	Facility		$933.25	$1,230.27	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,511.89	Professional		$870.96	$1,148.15	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,737.80	Professional		$776.25	$1,000.00	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,174.90	Facility		$977.24	$1,000.00	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $870.96 / $21,379.62	Facility		$812.83	$870.96	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,318.26 / $2,089.30	Professional		$457.09	$1,318.26	$2,089.30
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 $457.09 / $1,318.26 / $2,089.30	Professional		$457.09	$1,318.26	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$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 $1,023.29 / $1,202.26 / $2,290.87	Professional		$1,023.29	$1,202.26	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $14,125.38	Facility		$4,073.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,905.46	Professional		$851.14	$1,148.15	$1,905.46