Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $6,025.60	Facility		$2,344.23	$4,265.80	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,162.28	Professional		$1,698.24	$1,995.26	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $2,570.40	Professional		$346.74	$416.87	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $38,904.51 / $69,183.10	Professional		$3,090.30	$38,904.51	$69,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $5,248.07	Facility		$1,621.81	$1,621.81	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $3,548.13	Professional		$1,621.81	$2,884.03	$3,548.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $5,248.07	Facility		$1,621.81	$2,570.40	$5,248.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $4,897.79	Professional		$1,621.81	$2,630.27	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,621.81 / $2,511.89	Facility		$891.25	$1,621.81	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,511.89	Professional		$1,047.13	$1,479.11	$2,511.89