Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,388.44 / $10,715.19	Facility		$251.19	$3,388.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $616.60	Professional		$181.97	$234.42	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $436.52	Professional		$169.82	$229.09	$436.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $190.55 / $213.80	Facility		$177.83	$190.55	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $21,379.62	Facility		$158.49	$281.84	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $416.87	Professional		$181.97	$275.42	$416.87
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 $190.55 / $275.42 / $426.58	Professional		$190.55	$275.42	$426.58
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 / $2,570.40	Facility		$100.00	$100.00	$2,570.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $478.63	Professional		$173.78	$245.47	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,244.36	Facility		$2,238.72	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $389.05	Professional		$177.83	$245.47	$389.05