Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,818.38 / $11,481.54	Facility		$602.56	$2,818.38	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $1,174.90	Professional		$141.25	$208.93	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $208.93	Professional		$0.02	$0.02	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,019.95 / $41,686.94	Facility		$204.17	$3,019.95	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $3,388.44 / $6,025.60	Professional		$269.15	$3,388.44	$6,025.60
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 $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
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 $338.84 / $363.08 / $1,000.00	Professional		$338.84	$363.08	$1,000.00
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 $134.90 / $245.47 / $562.34	Professional		$134.90	$245.47	$562.34