Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,715.35 / $10,715.19	Facility		$251.19	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $3,019.95	Professional		$125.89	$151.36	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,089.30 / $3,981.07	Facility		$776.25	$2,089.30	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $501.19	Professional		$208.93	$302.00	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
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 $147.91 / $229.09 / $389.05	Professional		$147.91	$229.09	$389.05
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 $138.04 / $218.78 / $389.05	Professional		$138.04	$218.78	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $501.19	Facility		$100.00	$100.00	$501.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $371.54	Professional		$158.49	$186.21	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $2,951.21	Facility		$316.23	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $316.23	Professional		$128.82	$190.55	$316.23