Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,715.35 / $10,715.19	Facility		$309.03	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $758.58	Professional		$190.55	$295.12	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $575.44	Professional		$194.98	$309.03	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $218.78 / $257.04	Facility		$213.80	$218.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $21,379.62	Facility		$186.21	$346.74	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $562.34	Professional		$218.78	$338.84	$562.34
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 $213.80 / $338.84 / $588.84	Professional		$213.80	$338.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,786.30	Facility		$100.00	$100.00	$4,786.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $660.69	Professional		$218.78	$354.81	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $549.54	Professional		$199.53	$316.23	$549.54