Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,570.40 / $10,715.19	Facility		$323.59	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $616.60 / $1,513.56	Professional		$181.97	$616.60	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $549.54 / $1,202.26	Professional		$181.97	$549.54	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $467.74 / $21,379.62	Facility		$138.04	$467.74	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $1,148.15	Professional		$181.97	$389.05	$1,148.15
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 $186.21 / $407.38 / $1,122.02	Professional		$186.21	$407.38	$1,122.02
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 $165.96 / $446.68 / $1,258.93	Professional		$165.96	$446.68	$1,258.93
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 $181.97 / $549.54 / $1,202.26	Professional		$181.97	$549.54	$1,202.26