Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,818.38 / $10,715.19	Facility		$616.60	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $1,698.24	Professional		$295.12	$346.74	$1,698.24
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 $295.12 / $380.19 / $588.84	Professional		$295.12	$380.19	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $380.19	Facility		$323.59	$323.59	$380.19
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 $316.23 / $446.68 / $645.65	Professional		$316.23	$446.68	$645.65
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 $295.12 / $446.68 / $660.69	Professional		$295.12	$446.68	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $630.96	Professional		$288.40	$338.84	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $7,413.10	Facility		$2,454.71	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $588.84	Professional		$239.88	$363.08	$588.84