Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,019.95 / $10,715.19	Facility		$512.86	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $1,348.96	Professional		$302.00	$467.74	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $7,943.28	Facility		$1,000.00	$2,187.76	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $776.25	Professional		$302.00	$446.68	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
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 $354.81 / $537.03 / $912.01	Professional		$354.81	$537.03	$912.01
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 $346.74 / $524.81 / $851.14	Professional		$346.74	$524.81	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,511.89	Facility		$100.00	$100.00	$2,511.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $912.01	Professional		$346.74	$602.56	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $776.25	Professional		$295.12	$457.09	$776.25