Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $9,549.93 / $12,022.64	Facility		$489.78	$9,549.93	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $8,912.51	Professional		$263.03	$338.84	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,388.44 / $7,943.28	Facility		$1,348.96	$3,388.44	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $524.81	Professional		$245.47	$323.59	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $21,379.62	Facility		$234.42	$234.42	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $602.56	Professional		$269.15	$380.19	$602.56
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 $275.42 / $380.19 / $602.56	Professional		$275.42	$380.19	$602.56
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $602.56	Professional		$263.03	$323.59	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $562.34	Professional		$275.42	$371.54	$562.34