Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,818.38 / $10,964.78	Facility		$93.33	$2,818.38	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $173.78	Professional		$50.12	$60.26	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $104.71	Professional		$46.77	$63.10	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $52.48 / $295.12	Facility		$45.71	$52.48	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $57.54	Professional		$51.29	$51.29	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $575.44	Facility		$34.67	$83.18	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $131.83	Professional		$48.98	$70.79	$131.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $575.44	Facility		$83.18	$83.18	$575.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $125.89	Professional		$47.86	$69.18	$125.89
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 / $537.03	Facility		$100.00	$100.00	$537.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $97.72	Professional		$43.65	$51.29	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $912.01 / $2,884.03	Facility		$213.80	$912.01	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $91.20	Professional		$41.69	$58.88	$91.20