Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,120.11 / $12,022.64	Facility		$2,951.21	$9,120.11	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $7,079.46	Professional		$2,630.27	$3,311.31	$7,079.46
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 $2,398.83 / $3,162.28 / $4,897.79	Professional		$2,398.83	$3,162.28	$4,897.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,467.37	Facility		$2,884.03	$2,884.03	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,466.84 / $21,379.62	Facility		$3,235.94	$4,466.84	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $6,025.60	Professional		$2,818.38	$3,981.07	$6,025.60
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 $2,570.40 / $3,981.07 / $6,165.95	Professional		$2,570.40	$3,981.07	$6,165.95
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 Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $6,456.54	Professional		$2,884.03	$3,388.44	$6,456.54
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 $2,187.76 / $3,311.31 / $5,370.32	Professional		$2,187.76	$3,311.31	$5,370.32