Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,715.35 / $11,748.98	Facility		$354.81	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $812.83	Professional		$302.00	$398.11	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $707.95	Professional		$309.03	$436.52	$707.95
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 $331.13 / $501.19 / $870.96	Professional		$331.13	$501.19	$870.96
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 $323.59 / $512.86 / $812.83	Professional		$323.59	$512.86	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $309.03 / $457.09 / $831.76	Professional		$309.03	$457.09	$831.76
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 $309.03 / $436.52 / $707.95	Professional		$309.03	$436.52	$707.95