Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,818.38 / $10,715.19	Facility		$512.86	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $1,698.24	Professional		$316.23	$363.08	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $15,135.61	Facility		$1,548.82	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $575.44	Professional		$263.03	$354.81	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $398.11	Facility		$338.84	$338.84	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $21,379.62	Facility		$354.81	$537.03	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $660.69	Professional		$331.13	$457.09	$660.69
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 $309.03 / $457.09 / $676.08	Professional		$309.03	$457.09	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $758.58	Professional		$338.84	$398.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $588.84	Professional		$245.47	$371.54	$588.84