Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,570.40 / $10,715.19	Facility		$117.49	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $141.25 / $309.03	Professional		$58.88	$141.25	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $117.49 / $245.47	Professional		$56.23	$117.49	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $21,379.62	Facility		$104.71	$104.71	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $281.84	Professional		$66.07	$131.83	$281.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $21,379.62	Facility		$34.67	$104.71	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $263.03	Professional		$64.57	$125.89	$263.03
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 $56.23 / $144.54 / $323.59	Professional		$56.23	$144.54	$323.59
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 $64.57 / $134.90 / $295.12	Professional		$64.57	$134.90	$295.12