Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,570.40 / $10,715.19	Facility		$100.00	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $138.04 / $380.19	Professional		$48.98	$138.04	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $7,943.28	Facility		$1,000.00	$2,238.72	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $117.49 / $208.93	Professional		$50.12	$117.49	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $51.29 / $57.54	Facility		$47.86	$51.29	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $154.88 / $21,379.62	Facility		$42.66	$154.88	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $147.91 / $263.03	Professional		$56.23	$147.91	$263.03
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 $56.23 / $151.36 / $269.15	Professional		$56.23	$151.36	$269.15
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 / $1,047.13	Facility		$100.00	$100.00	$1,047.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $151.36 / $288.40	Professional		$45.71	$151.36	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $218.78	Professional		$51.29	$112.20	$218.78