Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,888.44 / $10,964.78	Facility		$758.58	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $3,235.94	Professional		$363.08	$426.58	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $724.44	Professional		$338.84	$446.68	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $467.74	Facility		$398.11	$398.11	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $21,379.62	Facility		$389.05	$645.65	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $776.25	Professional		$398.11	$537.03	$776.25
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 $389.05 / $537.03 / $776.25	Professional		$389.05	$537.03	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
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 $398.11 / $467.74 / $891.25	Professional		$398.11	$467.74	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,244.36	Facility		$2,238.72	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $707.95	Professional		$295.12	$426.58	$707.95