Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,818.38 / $10,715.19	Facility		$338.84	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,698.24 / $3,019.95	Professional		$173.78	$1,698.24	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,698.24 / $2,884.03	Professional		$204.17	$1,698.24	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $177.83 / $204.17	Facility		$169.82	$177.83	$204.17
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 $194.98 / $426.58 / $2,884.03	Professional		$194.98	$426.58	$2,884.03
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 $194.98 / $478.63 / $2,884.03	Professional		$194.98	$478.63	$2,884.03
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 $165.96 / $1,698.24 / $3,235.94	Professional		$165.96	$1,698.24	$3,235.94
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 $181.97 / $1,202.26 / $2,818.38	Professional		$181.97	$1,202.26	$2,818.38