Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,570.40 / $10,715.19	Facility		$288.40	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $446.68 / $1,288.25	Professional		$138.04	$446.68	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $512.86 / $870.96	Professional		$162.18	$512.86	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $138.04 / $158.49	Facility		$131.83	$138.04	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $416.87 / $21,379.62	Facility		$117.49	$416.87	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $331.13 / $851.14	Professional		$158.49	$331.13	$851.14
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 $158.49 / $331.13 / $891.25	Professional		$158.49	$331.13	$891.25
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 $131.83 / $467.74 / $891.25	Professional		$131.83	$467.74	$891.25
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 $151.36 / $416.87 / $912.01	Professional		$151.36	$416.87	$912.01