Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $2,570.40 / $10,715.19	Facility		$95.50	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $323.59	Professional		$77.62	$91.20	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,905.46 / $2,511.89	Facility		$707.95	$1,905.46	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $173.78	Professional		$83.18	$107.15	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
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 $83.18 / $117.49 / $194.98	Professional		$83.18	$117.49	$194.98
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 $81.28 / $120.23 / $186.21	Professional		$81.28	$120.23	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $199.53	Professional		$77.62	$109.65	$199.53
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 $75.86 / $100.00 / $162.18	Professional		$75.86	$100.00	$162.18