Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,513.56 / $9,120.11	Facility		$112.20	$1,513.56	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $177.83 / $478.63	Professional		$70.79	$177.83	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $151.36	Professional		$58.88	$85.11	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $123.03 / $21,379.62	Facility		$61.66	$123.03	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $346.74	Professional		$79.43	$177.83	$346.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $407.38 / $21,379.62	Facility		$34.67	$407.38	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $331.13	Professional		$79.43	$177.83	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $186.21 / $407.38	Professional		$66.07	$186.21	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $954.99 / $3,019.95	Facility		$436.52	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $338.84	Professional		$77.62	$165.96	$338.84