Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,818.38 / $10,715.19	Facility		$537.03	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $2,511.89	Professional		$288.40	$389.05	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,548.13 / $15,135.61	Facility		$1,548.82	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $562.34	Professional		$239.88	$316.23	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
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 $295.12 / $407.38 / $660.69	Professional		$295.12	$407.38	$660.69
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 $295.12 / $416.87 / $645.65	Professional		$295.12	$416.87	$645.65
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 Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,570.88	Facility		$100.00	$100.00	$4,570.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $741.31	Professional		$316.23	$398.11	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,912.51	Facility		$2,818.38	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $575.44	Professional		$295.12	$371.54	$575.44