Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $11,481.54	Facility		$1,000.00	$3,019.95	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,862.09	Professional		$537.03	$660.69	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,511.89	Facility		$1,905.46	$2,137.96	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $446.68	Professional		$194.98	$257.04	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $691.83	Facility		$588.84	$588.84	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $21,379.62	Facility		$954.99	$954.99	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,174.90	Professional		$562.34	$794.33	$1,174.90
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 $537.03 / $794.33 / $1,202.26	Professional		$537.03	$794.33	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $371.54	Professional		$158.49	$257.04	$371.54
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 $295.12 / $346.74 / $645.65	Professional		$295.12	$346.74	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,025.60 / $9,120.11	Facility		$2,951.21	$6,025.60	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $512.86	Professional		$218.78	$331.13	$512.86