Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $371.54 / $11,481.54	Facility		$120.23	$371.54	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $229.09	Professional		$85.11	$120.23	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $208.93	Professional		$75.86	$125.89	$208.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $190.55 / $316.23	Professional	50	$112.20	$190.55	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $95.50	Facility		$79.43	$85.11	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $134.90 / $21,379.62	Facility		$70.79	$134.90	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $239.88	Professional		$91.20	$138.04	$239.88
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 $91.20 / $144.54 / $239.88	Professional		$91.20	$144.54	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $870.96	Facility		$100.00	$100.00	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $239.88	Professional		$79.43	$125.89	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $199.53	Professional		$79.43	$123.03	$199.53