Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,818.38 / $10,715.19	Facility		$234.42	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $549.54	Professional		$114.82	$134.90	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $281.84	Professional		$125.89	$173.78	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $21,379.62	Facility		$112.20	$213.80	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $331.13	Professional		$128.82	$177.83	$331.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $218.78 / $21,379.62	Facility		$34.67	$218.78	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $302.00	Professional		$123.03	$177.83	$302.00
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 $112.20 / $141.25 / $251.19	Professional		$112.20	$141.25	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $3,019.95	Facility		$316.23	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $275.42	Professional		$120.23	$158.49	$275.42