Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,570.40 / $10,715.19	Facility		$208.93	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $457.09	Professional		$165.96	$199.53	$457.09
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 $109.65 / $141.25 / $239.88	Professional		$109.65	$141.25	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $21,379.62	Facility		$204.17	$281.84	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $363.08	Professional		$173.78	$251.19	$363.08
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 $169.82 / $251.19 / $363.08	Professional		$169.82	$251.19	$363.08
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 / $302.00	Facility		$100.00	$100.00	$302.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $398.11	Professional		$169.82	$208.93	$398.11
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 $134.90 / $204.17 / $331.13	Professional		$134.90	$204.17	$331.13