Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,090.30 / $10,715.19	Facility		$309.03	$3,090.30	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $870.96	Professional		$158.49	$363.08	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,511.89 / $7,943.28	Facility		$1,000.00	$2,511.89	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $354.81 / $831.76	Professional		$147.91	$354.81	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $181.97	Facility		$151.36	$162.18	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $21,379.62	Facility		$134.90	$316.23	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $660.69	Professional		$169.82	$323.59	$660.69
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 $169.82 / $323.59 / $676.08	Professional		$169.82	$323.59	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,570.40	Facility		$100.00	$100.00	$2,570.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $338.84 / $645.65	Professional		$147.91	$338.84	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,073.80	Facility		$1,096.48	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $323.59 / $630.96	Professional		$162.18	$323.59	$630.96