Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,570.40 / $10,715.19	Facility		$446.68	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $1,148.15	Professional		$331.13	$426.58	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,011.87 / $30,199.52	Facility		$1,548.82	$5,011.87	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $741.31	Professional		$316.23	$426.58	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $346.74 / $389.05	Facility		$323.59	$346.74	$389.05
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 $354.81 / $512.86 / $794.33	Professional		$354.81	$512.86	$794.33
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 $363.08 / $512.86 / $831.76	Professional		$363.08	$512.86	$831.76
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 / $11,748.98	Facility		$100.00	$100.00	$11,748.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $891.25	Professional		$316.23	$457.09	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $7,413.10	Facility		$2,570.40	$4,466.84	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $741.31	Professional		$331.13	$457.09	$741.31