Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $11,481.54	Facility		$1,380.38	$3,162.28	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $1,949.84	Professional		$112.20	$169.82	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $177.83	Professional		$0.02	$0.02	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,454.71 / $41,686.94	Facility		$162.18	$2,454.71	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $2,754.23 / $4,786.30	Professional		$213.80	$2,754.23	$4,786.30
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 $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
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 $269.15 / $269.15 / $794.33	Professional		$269.15	$269.15	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $426.58	Professional		$120.23	$213.80	$426.58