Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,570.40 / $10,715.19	Facility		$457.09	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $1,174.90	Professional		$346.74	$436.52	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,548.13 / $16,982.44	Facility		$1,548.82	$3,548.13	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $758.58	Professional		$316.23	$426.58	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $354.81 / $398.11	Facility		$331.13	$354.81	$398.11
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 $346.74 / $524.81 / $776.25	Professional		$346.74	$524.81	$776.25
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 $354.81 / $524.81 / $831.76	Professional		$354.81	$524.81	$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 / $6,606.93	Facility		$100.00	$100.00	$6,606.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $912.01	Professional		$323.59	$478.63	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,413.10	Facility		$2,570.40	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $758.58	Professional		$338.84	$467.74	$758.58