Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,019.95 / $10,715.19	Facility		$398.11	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $851.14	Professional		$239.88	$363.08	$851.14
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 $165.96 / $213.80 / $380.19	Professional		$165.96	$213.80	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Facility		$245.47	$245.47	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $416.87 / $21,379.62	Facility		$309.03	$416.87	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $660.69	Professional		$263.03	$416.87	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $21,379.62	Facility		$1,548.82	$1,548.82	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $660.69	Professional		$245.47	$407.38	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
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 $239.88 / $371.54 / $645.65	Professional		$239.88	$371.54	$645.65
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 $218.78 / $354.81 / $602.56	Professional		$218.78	$354.81	$602.56