Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $8,912.51 / $11,748.98	Facility		$524.81	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,230.27	Professional		$457.09	$575.44	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $912.01	Professional		$436.52	$588.84	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Facility		$501.19	$501.19	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $21,379.62	Facility		$616.60	$812.83	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,000.00	Professional		$489.78	$691.83	$1,000.00
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 $478.63 / $707.95 / $1,047.13	Professional		$478.63	$707.95	$1,047.13
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 / $2,398.83	Facility		$100.00	$100.00	$2,398.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,148.15	Professional		$512.86	$602.56	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Facility		$1,698.24	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $933.25	Professional		$389.05	$575.44	$933.25