Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,888.44 / $10,964.78	Facility		$870.96	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $1,905.46	Professional		$426.58	$501.19	$1,905.46
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 $245.47 / $331.13 / $616.60	Professional		$245.47	$331.13	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $537.03	Facility		$457.09	$457.09	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $21,379.62	Facility		$467.74	$588.84	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $891.25	Professional		$446.68	$630.96	$891.25
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 $416.87 / $630.96 / $933.25	Professional		$416.87	$630.96	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
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 $446.68 / $524.81 / $1,000.00	Professional		$446.68	$524.81	$1,000.00
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 $346.74 / $524.81 / $831.76	Professional		$346.74	$524.81	$831.76