Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $8,912.51 / $11,748.98	Facility		$1,445.44	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,981.07	Professional		$1,202.26	$1,548.82	$3,981.07
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 $1,202.26 / $1,513.56 / $2,630.27	Professional		$1,202.26	$1,513.56	$2,630.27
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 $1,096.48 / $1,513.56 / $21,379.62	Facility		$1,096.48	$1,513.56	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,819.70 / $2,818.38	Professional		$660.69	$1,819.70	$2,818.38
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 $660.69 / $1,819.70 / $2,884.03	Professional		$660.69	$1,819.70	$2,884.03
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 $1,380.38 / $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 $1,230.27 / $1,659.59 / $2,630.27	Professional		$1,230.27	$1,659.59	$2,630.27