Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,019.95 / $10,715.19	Facility		$208.93	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $794.33	Professional		$112.20	$229.09	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,089.30 / $3,981.07	Facility		$776.25	$2,089.30	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $323.59	Professional		$97.72	$162.18	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
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 $120.23 / $213.80 / $371.54	Professional		$120.23	$213.80	$371.54
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 $120.23 / $229.09 / $371.54	Professional		$120.23	$229.09	$371.54
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 / $1,949.84	Facility		$100.00	$100.00	$1,949.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $257.04 / $478.63	Professional		$107.15	$257.04	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,073.80	Facility		$1,096.48	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $398.11	Professional		$114.82	$204.17	$398.11