Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,019.95 / $10,715.19	Facility		$537.03	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,380.38	Professional		$354.81	$524.81	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $776.25	Professional		$338.84	$467.74	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
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 $363.08 / $549.54 / $933.25	Professional		$363.08	$549.54	$933.25
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 $354.81 / $537.03 / $870.96	Professional		$354.81	$537.03	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $912.01	Professional		$331.13	$512.86	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $5,248.07	Facility		$1,778.28	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $741.31	Professional		$316.23	$467.74	$741.31