Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,467.37 / $10,715.19	Facility		$512.86	$3,467.37	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,148.15	Professional		$323.59	$501.19	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $549.54	Professional		$245.47	$338.84	$549.54
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 $346.74 / $524.81 / $21,379.62	Facility		$346.74	$524.81	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $812.83	Professional		$338.84	$501.19	$812.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $21,379.62	Facility		$12,022.64	$12,022.64	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $812.83	Professional		$331.13	$501.19	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $776.25	Professional		$331.13	$512.86	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,466.84 / $7,413.10	Facility		$2,238.72	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $724.44	Professional		$269.15	$426.58	$724.44