Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,019.95 / $10,715.19	Facility		$446.68	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $812.83	Professional		$281.84	$407.38	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $478.63	Professional		$218.78	$302.00	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $338.84	Facility		$288.40	$288.40	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $21,379.62	Facility		$316.23	$467.74	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $691.83	Professional		$302.00	$446.68	$691.83
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 / $707.95	Professional		$295.12	$446.68	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $741.31	Professional		$281.84	$416.87	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $630.96	Professional		$245.47	$380.19	$630.96