Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $8,912.51 / $11,748.98	Facility		$81.28	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $169.82	Professional		$67.61	$77.62	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $4,466.84	Facility		$1,000.00	$2,089.30	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $128.82	Professional		$63.10	$77.62	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $21,379.62	Facility		$58.88	$58.88	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $138.04	Professional		$69.18	$91.20	$138.04
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 $69.18 / $97.72 / $138.04	Professional		$69.18	$97.72	$138.04
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 $58.88 / $74.13 / $138.04	Professional		$58.88	$74.13	$138.04
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 $67.61 / $87.10 / $131.83	Professional		$67.61	$87.10	$131.83