Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,888.44 / $10,964.78	Facility		$426.58	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $1,380.38	Professional		$208.93	$239.88	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $2,511.89	Facility		$891.25	$2,238.72	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $426.58	Professional		$208.93	$275.42	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Facility		$218.78	$218.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $354.81 / $21,379.62	Facility		$275.42	$354.81	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $446.68	Professional		$218.78	$309.03	$446.68
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 $213.80 / $316.23 / $467.74	Professional		$213.80	$316.23	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $436.52	Professional		$199.53	$229.09	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $416.87	Professional		$173.78	$263.03	$416.87