Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $8,912.51 / $12,022.64	Facility		$1,949.84	$8,912.51	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $4,265.80	Professional		$1,659.59	$2,041.74	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $12,022.64 / $30,199.52	Facility		$3,388.44	$12,022.64	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,162.28	Professional		$1,513.56	$1,995.26	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,187.76	Facility		$1,862.09	$1,862.09	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $21,379.62	Facility		$1,995.26	$2,818.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,715.35	Professional		$1,778.28	$2,511.89	$3,715.35
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 $1,621.81 / $2,511.89 / $3,890.45	Professional		$1,621.81	$2,511.89	$3,890.45
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 $1,862.09 / $2,187.76 / $4,168.69	Professional		$1,862.09	$2,187.76	$4,168.69
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 $1,348.96 / $2,089.30 / $3,311.31	Professional		$1,348.96	$2,089.30	$3,311.31