Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,238.72 / $10,715.19	Facility		$501.19	$2,238.72	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,288.25	Professional		$398.11	$489.78	$1,288.25
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 $302.00 / $416.87 / $676.08	Professional		$302.00	$416.87	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $489.78	Facility		$416.87	$416.87	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $21,379.62	Facility		$416.87	$676.08	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $870.96	Professional		$407.38	$575.44	$870.96
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 $389.05 / $575.44 / $870.96	Professional		$389.05	$575.44	$870.96
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 $426.58 / $537.03 / $977.24	Professional		$426.58	$537.03	$977.24
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 $316.23 / $467.74 / $758.58	Professional		$316.23	$467.74	$758.58