Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $5,888.44 / $10,964.78	Facility		$263.03	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $6,456.54	Professional		$134.90	$165.96	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $16,982.44	Facility		$2,238.72	$3,548.13	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $323.59	Professional		$134.90	$177.83	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $21,379.62	Facility		$112.20	$112.20	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $288.40	Professional		$141.25	$204.17	$288.40
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 $144.54 / $204.17 / $288.40	Professional		$144.54	$204.17	$288.40
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 / $6,760.83	Facility		$100.00	$100.00	$6,760.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $295.12	Professional		$128.82	$158.49	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $13,803.84	Facility		$4,073.80	$9,332.54	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $281.84	Professional		$138.04	$177.83	$281.84