Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,079.46 / $12,022.64	Facility		$2,454.71	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $6,760.83	Professional		$1,778.28	$1,995.26	$6,760.83
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 $1,737.80 / $2,187.76 / $3,801.89	Professional		$1,737.80	$2,187.76	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $2,187.76	Facility		$1,819.70	$1,949.84	$2,187.76
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 / $2,454.71 / $3,890.45	Professional		$724.44	$2,454.71	$3,890.45
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 / $2,570.40 / $3,981.07	Professional		$724.44	$2,570.40	$3,981.07
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 $1,737.80 / $2,041.74 / $3,890.45	Professional		$1,737.80	$2,041.74	$3,890.45
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 $1,698.24 / $2,238.72 / $3,715.35	Professional		$1,698.24	$2,238.72	$3,715.35