Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,090.30 / $10,715.19	Facility		$338.84	$3,090.30	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $630.96	Professional		$223.87	$309.03	$630.96
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 $229.09 / $302.00 / $489.78	Professional		$229.09	$302.00	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $275.42	Facility		$234.42	$234.42	$275.42
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 $251.19 / $380.19 / $549.54	Professional		$251.19	$380.19	$549.54
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 $245.47 / $371.54 / $562.34	Professional		$245.47	$371.54	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
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 $269.15 / $407.38 / $616.60	Professional		$269.15	$407.38	$616.60
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 $199.53 / $309.03 / $501.19	Professional		$199.53	$309.03	$501.19