Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,570.40 / $10,715.19	Facility		$169.82	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $263.03 / $870.96	Professional		$91.20	$263.03	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $398.11	Professional		$89.13	$213.80	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
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 $95.50 / $257.04 / $446.68	Professional		$95.50	$257.04	$446.68
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 $97.72 / $263.03 / $446.68	Professional		$97.72	$263.03	$446.68
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $446.68	Professional		$85.11	$234.42	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $239.88 / $457.09	Professional		$93.33	$239.88	$457.09