Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,019.95 / $10,715.19	Facility		$575.44	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,513.56	Professional		$354.81	$524.81	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,041.74 / $3,981.07	Facility		$776.25	$2,041.74	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $870.96	Professional		$371.54	$524.81	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
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 $426.58 / $645.65 / $1,096.48	Professional		$426.58	$645.65	$1,096.48
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 $416.87 / $630.96 / $1,023.29	Professional		$416.87	$630.96	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
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 $389.05 / $645.65 / $1,096.48	Professional		$389.05	$645.65	$1,096.48
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 $354.81 / $537.03 / $870.96	Professional		$354.81	$537.03	$870.96