Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,754.40 / $10,964.78	Facility		$1,348.96	$5,754.40	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $3,235.94	Professional		$724.44	$933.25	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,380.38	Professional		$676.08	$891.25	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Facility		$794.33	$794.33	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $21,379.62	Facility		$912.01	$1,288.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,548.82	Professional		$758.58	$1,096.48	$1,548.82
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 $707.95 / $1,096.48 / $1,659.59	Professional		$707.95	$1,096.48	$1,659.59
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 / $4,168.69	Facility		$100.00	$100.00	$4,168.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,698.24	Professional		$758.58	$891.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $10,471.29	Facility		$3,890.45	$6,760.83	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,445.44	Professional		$602.56	$891.25	$1,445.44