Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,912.51 / $12,302.69	Facility		$2,187.76	$8,912.51	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $8,317.64	Professional		$1,412.54	$1,621.81	$8,317.64
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 $1,258.93 / $1,698.24 / $2,951.21	Professional		$1,258.93	$1,698.24	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,737.80	Facility		$1,445.44	$1,548.82	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $21,379.62	Facility		$1,318.26	$1,737.80	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,949.84 / $3,090.30	Professional		$331.13	$1,949.84	$3,090.30
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 $331.13 / $1,995.26 / $3,090.30	Professional		$331.13	$1,995.26	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,162.28	Professional		$1,412.54	$1,659.59	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $10,964.78	Facility		$3,890.45	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,884.03	Professional		$1,288.25	$1,698.24	$2,884.03