Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,818.38 / $10,715.19	Facility		$630.96	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $1,698.24	Professional		$316.23	$380.19	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $7,943.28	Facility		$1,000.00	$2,238.72	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $562.34	Professional		$245.47	$346.74	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $407.38	Facility		$346.74	$346.74	$407.38
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 $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 $316.23 / $446.68 / $660.69	Professional		$316.23	$446.68	$660.69
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 $363.08 / $426.58 / $794.33	Professional		$363.08	$426.58	$794.33
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 $245.47 / $363.08 / $588.84	Professional		$245.47	$363.08	$588.84