Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,570.40 / $10,715.19	Facility		$426.58	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $933.25	Professional		$338.84	$398.11	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,981.07	Facility		$707.95	$1,995.26	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $588.84	Professional		$269.15	$371.54	$588.84
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 $354.81 / $575.44 / $21,379.62	Facility		$354.81	$575.44	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $724.44	Professional		$354.81	$489.78	$724.44
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 $346.74 / $489.78 / $724.44	Professional		$346.74	$489.78	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
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 $363.08 / $457.09 / $831.76	Professional		$363.08	$457.09	$831.76
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 $269.15 / $398.11 / $645.65	Professional		$269.15	$398.11	$645.65