Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $4,168.69 / $10,715.19	Facility		$331.13	$4,168.69	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $691.83	Professional		$269.15	$331.13	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $407.38	Professional		$190.55	$239.88	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $323.59	Facility		$269.15	$269.15	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $446.68 / $21,379.62	Facility		$346.74	$446.68	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $602.56	Professional		$275.42	$407.38	$602.56
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 $263.03 / $398.11 / $602.56	Professional		$263.03	$398.11	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
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 $269.15 / $338.84 / $616.60	Professional		$269.15	$338.84	$616.60
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 $223.87 / $338.84 / $537.03	Professional		$223.87	$338.84	$537.03