Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $8,912.51 / $11,748.98	Facility		$323.59	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $912.01	Professional		$263.03	$316.23	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $602.56	Professional		$295.12	$380.19	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $21,379.62	Facility		$218.78	$218.78	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $588.84	Professional		$251.19	$371.54	$588.84
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 $251.19 / $371.54 / $602.56	Professional		$251.19	$371.54	$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 Professional Modifier Low / Median / High Price $257.04 / $323.59 / $602.56	Professional		$257.04	$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 $269.15 / $371.54 / $537.03	Professional		$269.15	$371.54	$537.03