Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,079.46 / $12,022.64	Facility		$912.01	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $7,413.10	Professional		$467.74	$575.44	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $912.01	Professional		$436.52	$537.03	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $21,379.62	Facility		$398.11	$398.11	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $912.01	Professional		$478.63	$630.96	$912.01
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 $478.63 / $645.65 / $977.24	Professional		$478.63	$645.65	$977.24
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 / $3,890.45	Facility		$100.00	$100.00	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,122.02	Professional		$489.78	$602.56	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $8,511.38	Facility		$2,818.38	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $933.25	Professional		$478.63	$588.84	$933.25