Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $10,232.93	Facility		$288.40	$489.78	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $602.56	Professional		$239.88	$309.03	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $436.52	Professional		$186.21	$251.19	$436.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $309.03	Facility		$263.03	$263.03	$309.03
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 $257.04 / $363.08 / $524.81	Professional		$257.04	$363.08	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $21,379.62	Facility		$234.42	$446.68	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $537.03	Professional		$257.04	$363.08	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $302.00	Facility		$100.00	$100.00	$302.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $676.08	Professional		$309.03	$371.54	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $467.74	Professional		$194.98	$288.40	$467.74