Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,570.40 / $10,715.19	Facility		$251.19	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $501.19	Professional		$173.78	$229.09	$501.19
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 $97.72 / $128.82 / $263.03	Professional		$97.72	$128.82	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Facility		$194.98	$194.98	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $309.03 / $21,379.62	Facility		$169.82	$309.03	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $407.38	Professional		$186.21	$269.15	$407.38
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 $186.21 / $269.15 / $407.38	Professional		$186.21	$269.15	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
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 $204.17 / $263.03 / $478.63	Professional		$204.17	$263.03	$478.63
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 $141.25 / $213.80 / $354.81	Professional		$141.25	$213.80	$354.81