Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $8,912.51 / $11,748.98	Facility		$2,041.74	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $5,623.41	Professional		$1,698.24	$2,041.74	$5,623.41
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 $1,698.24 / $2,137.96 / $3,715.35	Professional		$1,698.24	$2,137.96	$3,715.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $2,290.87	Facility		$1,862.09	$1,949.84	$2,290.87
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,454.71 / $3,890.45	Professional		$724.44	$2,454.71	$3,890.45
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 / $2,511.89 / $3,981.07	Professional		$724.44	$2,511.89	$3,981.07
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 $1,949.84 / $2,290.87 / $4,365.16	Professional		$1,949.84	$2,290.87	$4,365.16
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 $1,584.89 / $2,290.87 / $3,715.35	Professional		$1,584.89	$2,290.87	$3,715.35