Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,818.38 / $10,715.19	Facility		$63.10	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $1,819.70	Professional		$32.36	$40.74	$1,819.70
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 $29.51 / $40.74 / $97.72	Professional		$29.51	$40.74	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $34.67 / $38.90	Facility		$32.36	$34.67	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $21,379.62	Facility		$29.51	$42.66	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $309.03	Professional		$35.48	$51.29	$309.03
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 $36.31 / $51.29 / $338.84	Professional		$36.31	$51.29	$338.84
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 / $288.40	Facility		$100.00	$100.00	$288.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $69.18	Professional		$31.62	$36.31	$69.18
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 $30.20 / $39.81 / $72.44	Professional		$30.20	$39.81	$72.44