Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,019.95 / $10,715.19	Facility		$380.19	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $1,096.48	Professional		$245.47	$407.38	$1,096.48
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 $251.19 / $380.19 / $630.96	Professional		$251.19	$380.19	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
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 $288.40 / $426.58 / $724.44	Professional		$288.40	$426.58	$724.44
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 $281.84 / $426.58 / $676.08	Professional		$281.84	$426.58	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $912.01	Facility		$100.00	$100.00	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $724.44	Professional		$275.42	$478.63	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $954.99 / $2,951.21	Facility		$467.74	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $616.60	Professional		$239.88	$380.19	$616.60