Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,511.89 / $10,715.19	Facility		$389.05	$2,511.89	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $870.96	Professional		$316.23	$371.54	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $7,943.28	Facility		$1,000.00	$2,754.23	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $562.34	Professional		$257.04	$354.81	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Facility		$331.13	$331.13	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $21,379.62	Facility		$354.81	$537.03	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $676.08	Professional		$331.13	$457.09	$676.08
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 $323.59 / $457.09 / $676.08	Professional		$323.59	$457.09	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,995.26	Facility		$100.00	$100.00	$1,995.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $794.33	Professional		$346.74	$426.58	$794.33
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 $251.19 / $371.54 / $602.56	Professional		$251.19	$371.54	$602.56