Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $8,912.51 / $11,748.98	Facility		$794.33	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,778.28	Professional		$645.65	$794.33	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,772.37 / $23,442.29	Facility		$2,511.89	$9,772.37	$23,442.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,230.27	Professional		$588.84	$794.33	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $891.25	Facility		$758.58	$758.58	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $21,379.62	Facility		$758.58	$1,230.27	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,445.44	Professional		$676.08	$1,000.00	$1,445.44
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 $676.08 / $977.24 / $1,479.11	Professional		$676.08	$977.24	$1,479.11
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 $724.44 / $851.14 / $1,621.81	Professional		$724.44	$851.14	$1,621.81
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 $549.54 / $812.83 / $1,348.96	Professional		$549.54	$812.83	$1,348.96