Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,715.35 / $10,964.78	Facility		$741.31	$3,715.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $2,238.72	Professional		$436.52	$512.86	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,370.32 / $22,908.68	Facility		$1,995.26	$5,370.32	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $660.69	Professional		$269.15	$346.74	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $562.34	Facility		$478.63	$478.63	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $776.25 / $21,379.62	Facility		$467.74	$776.25	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $912.01	Professional		$467.74	$630.96	$912.01
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 $436.52 / $630.96 / $912.01	Professional		$436.52	$630.96	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
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 $489.78 / $575.44 / $1,096.48	Professional		$489.78	$575.44	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $7,413.10	Facility		$2,570.40	$4,570.88	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $812.83	Professional		$338.84	$501.19	$812.83