Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $8,912.51 / $11,748.98	Facility		$2,290.87	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $5,128.61	Professional		$1,905.46	$2,454.71	$5,128.61
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 $1,698.24 / $2,238.72 / $3,548.13	Professional		$1,698.24	$2,238.72	$3,548.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Facility		$2,089.30	$2,089.30	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $21,379.62	Facility		$2,290.87	$3,388.44	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $4,265.80	Professional		$1,995.26	$2,884.03	$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 $1,905.46 / $2,884.03 / $4,365.16	Professional		$1,905.46	$2,884.03	$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 $2,187.76 / $2,570.40 / $4,897.79	Professional		$2,187.76	$2,570.40	$4,897.79
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 $1,621.81 / $2,398.83 / $3,890.45	Professional		$1,621.81	$2,398.83	$3,890.45