Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,715.35 / $10,715.19	Facility		$1,445.44	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $3,235.94	Professional		$1,023.29	$1,318.26	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $16,982.44	Facility		$1,995.26	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,905.46	Professional		$933.25	$1,202.26	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,318.26	Facility		$1,122.02	$1,122.02	$1,318.26
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,238.72	Professional		$1,071.52	$1,513.56	$2,238.72
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 $1,000.00 / $1,513.56 / $2,290.87	Professional		$1,000.00	$1,513.56	$2,290.87
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 / $10,715.19	Facility		$100.00	$100.00	$10,715.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,344.23	Professional		$1,071.52	$1,230.27	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $11,220.18	Facility		$3,890.45	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,041.74	Professional		$831.76	$1,258.93	$2,041.74