Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,454.71 / $10,715.19	Facility		$549.54	$2,454.71	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $1,258.93	Professional		$426.58	$512.86	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $7,943.28	Facility		$1,000.00	$2,187.76	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $794.33	Professional		$389.05	$512.86	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $524.81	Facility		$446.68	$446.68	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $21,379.62	Facility		$489.78	$724.44	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $933.25	Professional		$446.68	$630.96	$933.25
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 $436.52 / $630.96 / $933.25	Professional		$436.52	$630.96	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
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 $478.63 / $602.56 / $1,096.48	Professional		$478.63	$602.56	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $3,235.94	Facility		$478.63	$1,023.29	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $831.76	Professional		$346.74	$524.81	$831.76