Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $8,912.51 / $11,748.98	Facility		$194.98	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $446.68	Professional		$151.36	$181.97	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,413.10 / $15,135.61	Facility		$2,238.72	$7,413.10	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $295.12	Professional		$138.04	$181.97	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
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 $141.25 / $208.93 / $331.13	Professional		$141.25	$208.93	$331.13
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 $151.36 / $218.78 / $338.84	Professional		$151.36	$218.78	$338.84
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 $144.54 / $177.83 / $338.84	Professional		$144.54	$177.83	$338.84
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 $162.18 / $218.78 / $316.23	Professional		$162.18	$218.78	$316.23