Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,818.38 / $10,715.19	Facility		$630.96	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $2,238.72	Professional		$380.19	$467.74	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $15,135.61	Facility		$1,548.82	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $776.25	Professional		$363.08	$436.52	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $416.87 / $467.74	Facility		$389.05	$416.87	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $21,379.62	Facility		$338.84	$512.86	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $831.76	Professional		$354.81	$537.03	$831.76
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 / $537.03 / $831.76	Professional		$354.81	$537.03	$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 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $851.14	Professional		$389.05	$457.09	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $5,248.07	Facility		$1,778.28	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $758.58	Professional		$363.08	$467.74	$758.58