Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $7,079.46 / $12,022.64	Facility		$323.59	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $5,370.32	Professional		$169.82	$204.17	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $30,199.52	Facility		$2,137.96	$7,413.10	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $354.81	Professional		$162.18	$204.17	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $346.74	Professional		$154.88	$239.88	$346.74
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 $165.96 / $245.47 / $363.08	Professional		$165.96	$245.47	$363.08
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 / $10,232.93	Facility		$100.00	$100.00	$10,232.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $346.74	Professional		$151.36	$186.21	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $331.13	Professional		$173.78	$218.78	$331.13