Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,818.38 / $10,715.19	Facility		$933.25	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $2,454.71	Professional		$457.09	$562.34	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $15,135.61	Facility		$1,698.24	$3,311.31	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $933.25	Professional		$446.68	$537.03	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $489.78 / $549.54	Facility		$457.09	$489.78	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $21,379.62	Facility		$407.38	$645.65	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $977.24	Professional		$416.87	$645.65	$977.24
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 $426.58 / $645.65 / $977.24	Professional		$426.58	$645.65	$977.24
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 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $977.24	Professional		$446.68	$524.81	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $4,073.80	Facility		$1,096.48	$1,949.84	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $933.25	Professional		$436.52	$575.44	$933.25