Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $426.58 / $977.24	Facility		$107.15	$426.58	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $234.42	Professional		$89.13	$100.00	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $158.49	Professional		$70.79	$91.20	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $102.33 / $114.82	Facility		$95.50	$102.33	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $21,379.62	Facility		$85.11	$123.03	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $204.17	Professional		$102.33	$141.25	$204.17
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 $102.33 / $141.25 / $213.80	Professional		$102.33	$141.25	$213.80
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 $89.13 / $104.71 / $199.53	Professional		$89.13	$104.71	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $199.53	Professional		$85.11	$117.49	$199.53