Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $6,309.57 / $10,964.78	Facility		$676.08	$6,309.57	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $1,318.26	Professional		$316.23	$380.19	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $630.96	Professional		$309.03	$398.11	$630.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $416.87	Facility		$354.81	$354.81	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $21,379.62	Facility		$380.19	$575.44	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $691.83	Professional		$346.74	$478.63	$691.83
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 / $478.63 / $691.83	Professional		$316.23	$478.63	$691.83
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 $338.84 / $389.05 / $741.31	Professional		$338.84	$389.05	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $4,073.80	Facility		$1,096.48	$1,949.84	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $645.65	Professional		$263.03	$389.05	$645.65