Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,715.35 / $10,715.19	Facility		$602.56	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $2,238.72	Professional		$338.84	$389.05	$2,238.72
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 $354.81 / $501.19 / $851.14	Professional		$354.81	$501.19	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $426.58	Facility		$363.08	$363.08	$426.58
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 $346.74 / $489.78 / $741.31	Professional		$346.74	$489.78	$741.31
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 $331.13 / $489.78 / $741.31	Professional		$331.13	$489.78	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
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 $363.08 / $426.58 / $812.83	Professional		$363.08	$426.58	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,244.36	Facility		$2,238.72	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $645.65	Professional		$269.15	$416.87	$645.65