Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,818.38 / $10,715.19	Facility		$549.54	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $2,089.30	Professional		$331.13	$407.38	$2,089.30
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 $331.13 / $407.38 / $707.95	Professional		$331.13	$407.38	$707.95
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 $295.12 / $467.74 / $21,379.62	Facility		$295.12	$467.74	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $707.95	Professional		$331.13	$467.74	$707.95
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 $331.13 / $467.74 / $707.95	Professional		$331.13	$467.74	$707.95
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 / $380.19 / $707.95	Professional		$323.59	$380.19	$707.95
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 $316.23 / $416.87 / $676.08	Professional		$316.23	$416.87	$676.08