Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,737.80 / $10,232.93	Facility		$181.97	$1,737.80	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $371.54	Professional		$134.90	$169.82	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $194.98	Professional		$83.18	$107.15	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $165.96	Facility		$141.25	$141.25	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $21,379.62	Facility		$154.88	$223.87	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $302.00	Professional		$141.25	$199.53	$302.00
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 $138.04 / $199.53 / $295.12	Professional		$138.04	$199.53	$295.12
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 / $302.00	Facility		$100.00	$100.00	$302.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $331.13	Professional		$144.54	$181.97	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $269.15	Professional		$109.65	$165.96	$269.15