Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,019.95 / $10,715.19	Facility		$524.81	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,230.27	Professional		$354.81	$501.19	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $812.83	Professional		$316.23	$446.68	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $371.54 / $416.87	Facility		$346.74	$371.54	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $478.63 / $21,379.62	Facility		$309.03	$478.63	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $831.76	Professional		$354.81	$537.03	$831.76
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 $354.81 / $537.03 / $870.96	Professional		$354.81	$537.03	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $912.01	Professional		$331.13	$512.86	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $7,413.10	Facility		$2,454.71	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $776.25	Professional		$316.23	$467.74	$776.25