Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $9,549.93 / $12,022.64	Facility		$724.44	$9,549.93	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $8,912.51	Professional		$398.11	$501.19	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $19,054.61 / $41,686.94	Facility		$2,570.40	$19,054.61	$41,686.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $776.25	Professional		$363.08	$478.63	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $21,379.62	Facility		$346.74	$346.74	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $891.25	Professional		$398.11	$562.34	$891.25
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 $407.38 / $575.44 / $891.25	Professional		$407.38	$575.44	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $891.25	Professional		$389.05	$478.63	$891.25
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 $426.58 / $562.34 / $831.76	Professional		$426.58	$562.34	$831.76