Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $4,265.80 / $10,964.78	Facility		$218.78	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $288.40 / $741.31	Professional		$125.89	$288.40	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $257.04	Professional		$97.72	$128.82	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $128.82 / $144.54	Facility		$120.23	$128.82	$144.54
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 $138.04 / $251.19 / $467.74	Professional		$138.04	$251.19	$467.74
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 $141.25 / $257.04 / $478.63	Professional		$141.25	$257.04	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,905.46	Facility		$100.00	$100.00	$1,905.46
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $295.12 / $549.54	Professional		$117.49	$295.12	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $467.74	Professional		$114.82	$234.42	$467.74