Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,467.37 / $10,715.19	Facility		$478.63	$3,467.37	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,230.27	Professional		$346.74	$478.63	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $16,982.44	Facility		$2,238.72	$3,715.35	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $776.25	Professional		$346.74	$478.63	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $407.38	Facility		$346.74	$346.74	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $602.56 / $21,379.62	Facility		$446.68	$602.56	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $851.14	Professional		$363.08	$562.34	$851.14
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 $354.81 / $549.54 / $870.96	Professional		$354.81	$549.54	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $891.25	Professional		$338.84	$467.74	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $7,413.10	Facility		$2,570.40	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $776.25	Professional		$316.23	$489.78	$776.25