Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,570.40 / $10,715.19	Facility		$269.15	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $501.19	Professional		$147.91	$239.88	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $269.15	Professional		$102.33	$151.36	$269.15
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 $158.49 / $263.03 / $446.68	Professional		$158.49	$263.03	$446.68
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 $154.88 / $263.03 / $446.68	Professional		$154.88	$263.03	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,041.74	Facility		$100.00	$100.00	$2,041.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $398.11	Professional		$144.54	$263.03	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $4,073.80	Facility		$1,096.48	$1,949.84	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $389.05	Professional		$131.83	$223.87	$389.05