Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $8,912.51 / $12,302.69	Facility		$1,348.96	$8,912.51	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $8,317.64	Professional		$831.76	$954.99	$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 $831.76 / $1,096.48 / $1,862.09	Professional		$831.76	$1,096.48	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $912.01 / $1,023.29	Facility		$851.14	$912.01	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $21,379.62	Facility		$776.25	$1,071.52	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,202.26 / $1,819.70	Professional		$331.13	$1,202.26	$1,819.70
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 / $1,202.26 / $1,862.09	Professional		$331.13	$1,202.26	$1,862.09
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 $831.76 / $977.24 / $1,819.70	Professional		$831.76	$977.24	$1,819.70
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 $794.33 / $1,047.13 / $1,737.80	Professional		$794.33	$1,047.13	$1,737.80