Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,630.27 / $10,715.19	Facility		$478.63	$2,630.27	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $1,949.84	Professional		$309.03	$436.52	$1,949.84
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 $416.87 / $630.96 / $1,023.29	Professional		$416.87	$630.96	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
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 $338.84 / $512.86 / $891.25	Professional		$338.84	$512.86	$891.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $21,379.62	Facility		$1,479.11	$2,630.27	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $891.25	Professional		$331.13	$512.86	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $912.01	Facility		$100.00	$100.00	$912.01
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 $467.74 / $954.99 / $2,951.21	Facility		$467.74	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $724.44	Professional		$309.03	$446.68	$724.44