Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,888.44 / $10,964.78	Facility		$645.65	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $6,456.54	Professional		$371.54	$467.74	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $60,255.96	Facility		$3,162.28	$8,511.38	$60,255.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $724.44	Professional		$338.84	$436.52	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $21,379.62	Facility		$316.23	$316.23	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $794.33	Professional		$338.84	$501.19	$794.33
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 / $501.19 / $812.83	Professional		$354.81	$501.19	$812.83
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 / $27,542.29	Facility		$100.00	$100.00	$27,542.29
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $794.33	Professional		$338.84	$426.58	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $33,113.11 / $83,176.38	Facility		$10,471.29	$33,113.11	$83,176.38
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $724.44	Professional		$380.19	$512.86	$724.44