Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $33,884.42 / $37,153.52	Facility		$1,174.90	$33,884.42	$37,153.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,659.59	Professional		$891.25	$1,148.15	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $52,480.75 / $52,480.75	Facility		$45,708.82	$52,480.75	$52,480.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,238.72	Professional		$1,202.26	$1,548.82	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $12,302.69	Facility		$1,071.52	$1,071.52	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,890.45	Professional		$1,905.46	$2,398.83	$3,890.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $24,547.09 / $27,542.29	Facility		$2,238.72	$24,547.09	$27,542.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,089.30	Professional		$1,995.26	$1,995.26	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $891.25 / $1,230.27	Professional		$32.36	$891.25	$1,230.27
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $9,332.54 / $17,782.79	Professional		$60.26	$9,332.54	$17,782.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $17,782.79	Facility		$5,754.40	$5,754.40	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $9,772.37	Professional		$1,023.29	$2,884.03	$9,772.37