Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,570.40 / $10,715.19	Facility		$138.04	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $346.74	Professional		$95.50	$123.03	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $223.87	Professional		$93.33	$128.82	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $109.65	Facility		$91.20	$97.72	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $21,379.62	Facility		$81.28	$158.49	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $251.19	Professional		$104.71	$151.36	$251.19
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 $104.71 / $151.36 / $251.19	Professional		$104.71	$151.36	$251.19
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 / $309.03	Facility		$100.00	$100.00	$309.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $257.04	Professional		$87.10	$134.90	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $213.80	Professional		$95.50	$134.90	$213.80