Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $6,025.60 / $11,748.98	Facility		$478.63	$6,025.60	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $933.25	Professional		$295.12	$398.11	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $7,943.28	Facility		$1,071.52	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $537.03	Professional		$239.88	$331.13	$537.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $363.08	Facility		$309.03	$309.03	$363.08
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 $302.00 / $426.58 / $630.96	Professional		$302.00	$426.58	$630.96
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 $281.84 / $426.58 / $630.96	Professional		$281.84	$426.58	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
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 $309.03 / $363.08 / $691.83	Professional		$309.03	$363.08	$691.83
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 $229.09 / $338.84 / $549.54	Professional		$229.09	$338.84	$549.54