Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,019.95 / $10,715.19	Facility		$380.19	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $758.58	Professional		$223.87	$346.74	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $363.08	Professional		$165.96	$213.80	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $269.15	Facility		$229.09	$229.09	$269.15
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 $245.47 / $398.11 / $630.96	Professional		$245.47	$398.11	$630.96
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 $234.42 / $389.05 / $645.65	Professional		$234.42	$389.05	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $602.56	Professional		$223.87	$354.81	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $7,413.10	Facility		$2,454.71	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $575.44	Professional		$204.17	$338.84	$575.44