Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,019.95 / $10,715.19	Facility		$213.80	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $537.03	Professional		$117.49	$208.93	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $331.13	Professional		$112.20	$186.21	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $120.23 / $138.04	Facility		$114.82	$120.23	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $190.55 / $21,379.62	Facility		$100.00	$190.55	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $389.05	Professional		$134.90	$229.09	$389.05
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 $138.04 / $234.42 / $398.11	Professional		$138.04	$234.42	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,570.88	Facility		$100.00	$100.00	$4,570.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $407.38	Professional		$107.15	$213.80	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,248.07	Facility		$1,778.28	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $338.84	Professional		$112.20	$190.55	$338.84