Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,344.23 / $10,715.19	Facility		$158.49	$2,344.23	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $158.49 / $363.08	Professional		$41.69	$158.49	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $147.91 / $295.12	Professional		$47.86	$147.91	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $48.98 / $54.95	Facility		$46.77	$48.98	$54.95
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 $54.95 / $173.78 / $331.13	Professional		$54.95	$173.78	$331.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $21,379.62	Facility		$549.54	$549.54	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $173.78 / $346.74	Professional		$54.95	$173.78	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $37.15	Professional		$32.36	$33.11	$37.15
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 $43.65 / $177.83 / $338.84	Professional		$43.65	$177.83	$338.84
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 $46.77 / $141.25 / $323.59	Professional		$46.77	$141.25	$323.59