Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,818.38 / $10,715.19	Facility		$223.87	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $588.84	Professional		$154.88	$281.84	$588.84
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 $134.90 / $194.98 / $323.59	Professional		$134.90	$194.98	$323.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $181.97	Facility		$154.88	$154.88	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $295.12 / $21,379.62	Facility		$173.78	$295.12	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $489.78	Professional		$169.82	$275.42	$489.78
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 $165.96 / $275.42 / $478.63	Professional		$165.96	$275.42	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
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 $158.49 / $316.23 / $478.63	Professional		$158.49	$316.23	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Facility		$1,698.24	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $436.52	Professional		$131.83	$239.88	$436.52