Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,570.40 / $10,715.19	Facility		$162.18	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $389.05	Professional		$131.83	$154.88	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,981.07	Facility		$707.95	$1,995.26	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $239.88	Professional		$100.00	$138.04	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $173.78	Facility		$147.91	$147.91	$173.78
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 $141.25 / $194.98 / $288.40	Professional		$141.25	$194.98	$288.40
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 $134.90 / $194.98 / $295.12	Professional		$134.90	$194.98	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $302.00	Facility		$100.00	$100.00	$302.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $354.81	Professional		$165.96	$194.98	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $251.19	Professional		$104.71	$154.88	$251.19