Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,912.51 / $11,748.98	Facility		$2,187.76	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $5,754.40	Professional		$1,819.70	$2,344.23	$5,754.40
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 $1,778.28 / $2,454.71 / $4,265.80	Professional		$1,778.28	$2,454.71	$4,265.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $2,454.71	Facility		$1,995.26	$2,041.74	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $21,379.62	Facility		$1,659.59	$2,187.76	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,754.23 / $4,265.80	Professional		$724.44	$2,754.23	$4,265.80
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 / $2,754.23 / $4,365.16	Professional		$724.44	$2,754.23	$4,365.16
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 $2,089.30 / $2,454.71 / $4,677.35	Professional		$2,089.30	$2,454.71	$4,677.35
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 $1,862.09 / $2,454.71 / $3,981.07	Professional		$1,862.09	$2,454.71	$3,981.07