Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $2,570.40 / $10,715.19	Facility		$120.23	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $398.11	Professional		$93.33	$114.82	$398.11
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 $109.65 / $141.25 / $223.87	Professional		$109.65	$141.25	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
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 $102.33 / $147.91 / $234.42	Professional		$102.33	$147.91	$234.42
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 $100.00 / $147.91 / $234.42	Professional		$100.00	$147.91	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
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 $100.00 / $134.90 / $239.88	Professional		$100.00	$134.90	$239.88
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 $93.33 / $125.89 / $199.53	Professional		$93.33	$125.89	$199.53