Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $10,715.19	Facility		$1,412.54	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $3,019.95	Professional		$933.25	$1,202.26	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,659.59	Professional		$741.31	$1,023.29	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,288.25	Facility		$1,071.52	$1,071.52	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $21,379.62	Facility		$954.99	$1,659.59	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,089.30	Professional		$954.99	$1,380.38	$2,089.30
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 $933.25 / $1,380.38 / $2,089.30	Professional		$933.25	$1,380.38	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,398.83	Facility		$100.00	$100.00	$2,398.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,454.71	Professional		$1,096.48	$1,288.25	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $7,244.36	Facility		$2,238.72	$4,365.16	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,905.46	Professional		$741.31	$1,096.48	$1,905.46