Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,715.35 / $10,715.19	Facility		$616.60	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $3,019.95	Professional		$371.54	$457.09	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $758.58	Professional		$354.81	$426.58	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $398.11 / $446.68	Facility		$380.19	$398.11	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $21,379.62	Facility		$331.13	$512.86	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $512.86 / $812.83	Professional		$194.98	$512.86	$812.83
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 $194.98 / $512.86 / $812.83	Professional		$194.98	$512.86	$812.83
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 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $831.76	Professional		$371.54	$436.52	$831.76
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 $346.74 / $467.74 / $741.31	Professional		$346.74	$467.74	$741.31