Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,570.40 / $10,715.19	Facility		$354.81	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $794.33	Professional		$131.83	$323.59	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,981.07	Facility		$707.95	$1,995.26	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $295.12	Professional		$117.49	$151.36	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $131.83 / $151.36	Facility		$125.89	$131.83	$151.36
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 $151.36 / $302.00 / $562.34	Professional		$151.36	$302.00	$562.34
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 $151.36 / $331.13 / $562.34	Professional		$151.36	$331.13	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $288.40	Facility		$100.00	$100.00	$288.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $371.54 / $758.58	Professional		$123.03	$371.54	$758.58
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 $128.82 / $257.04 / $524.81	Professional		$128.82	$257.04	$524.81