Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,912.51 / $11,748.98	Facility		$1,905.46	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $4,365.16	Professional		$1,548.82	$1,737.80	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $21,877.62	Facility		$2,511.89	$9,549.93	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,467.37	Professional		$1,584.89	$1,995.26	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $1,949.84	Facility		$1,621.81	$1,737.80	$1,949.84
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 $724.44 / $2,238.72 / $3,467.37	Professional		$724.44	$2,238.72	$3,467.37
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 $724.44 / $2,290.87 / $3,548.13	Professional		$724.44	$2,290.87	$3,548.13
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $3,388.44	Professional		$1,548.82	$1,819.70	$3,388.44
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 $1,513.56 / $1,995.26 / $3,311.31	Professional		$1,513.56	$1,995.26	$3,311.31