Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $3,715.35 / $11,748.98	Facility		$177.83	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $457.09	Professional		$154.88	$257.04	$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 $138.04 / $181.97 / $288.40	Professional		$138.04	$181.97	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $190.55	Facility		$162.18	$162.18	$190.55
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $489.78	Professional		$177.83	$281.84	$489.78
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 $173.78 / $281.84 / $489.78	Professional		$173.78	$281.84	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $501.19	Professional		$162.18	$331.13	$501.19
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 $138.04 / $239.88 / $426.58	Professional		$138.04	$239.88	$426.58