Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $3,715.35 / $11,748.98	Facility		$74.13	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $165.96	Professional		$63.10	$91.20	$165.96
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 $51.29 / $67.61 / $107.15	Professional		$51.29	$67.61	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Facility		$67.61	$67.61	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $109.65 / $21,379.62	Facility		$69.18	$109.65	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $173.78	Professional		$69.18	$107.15	$173.78
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 $69.18 / $107.15 / $177.83	Professional		$69.18	$107.15	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $177.83	Professional		$67.61	$112.20	$177.83
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 $56.23 / $89.13 / $151.36	Professional		$56.23	$89.13	$151.36