Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,168.69 / $10,964.78	Facility		$524.81	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,047.13	Professional		$331.13	$478.63	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,244.36 / $22,908.68	Facility		$2,238.72	$7,244.36	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $537.03	Professional		$245.47	$316.23	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $398.11	Facility		$338.84	$338.84	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $21,379.62	Facility		$457.09	$616.60	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $870.96	Professional		$363.08	$575.44	$870.96
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 $346.74 / $549.54 / $891.25	Professional		$346.74	$549.54	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,912.51	Facility		$100.00	$100.00	$8,912.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $891.25	Professional		$331.13	$501.19	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $794.33	Professional		$309.03	$489.78	$794.33