Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,715.35 / $10,715.19	Facility		$758.58	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $2,951.21	Professional		$457.09	$562.34	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $16,982.44	Facility		$1,995.26	$3,548.13	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $933.25	Professional		$436.52	$537.03	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $489.78 / $549.54	Facility		$457.09	$489.78	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $21,379.62	Facility		$407.38	$616.60	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $645.65 / $977.24	Professional		$194.98	$645.65	$977.24
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 / $645.65 / $977.24	Professional		$194.98	$645.65	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $6,606.93	Facility		$100.00	$100.00	$6,606.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $1,023.29	Professional		$457.09	$537.03	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $912.01	Professional		$426.58	$562.34	$912.01