Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,995.26 / $10,715.19	Facility		$87.10	$1,995.26	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $2,089.30	Professional		$45.71	$61.66	$2,089.30
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 $44.67 / $60.26 / $125.89	Professional		$44.67	$60.26	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $60.26	Facility		$50.12	$53.70	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $21,379.62	Facility		$50.12	$64.57	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $112.20	Professional		$52.48	$72.44	$112.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $363.08 / $21,379.62	Facility		$213.80	$363.08	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $114.82	Professional		$54.95	$72.44	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $269.15	Facility		$100.00	$100.00	$269.15
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $104.71	Professional		$46.77	$54.95	$104.71
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 $45.71 / $60.26 / $107.15	Professional		$45.71	$60.26	$107.15