Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,715.35 / $10,715.19	Facility		$354.81	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $758.58	Professional		$169.82	$208.93	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $389.05	Professional		$173.78	$239.88	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $21,379.62	Facility		$316.23	$316.23	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $436.52	Professional		$181.97	$251.19	$436.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $316.23 / $21,379.62	Facility		$34.67	$316.23	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $416.87	Professional		$177.83	$245.47	$416.87
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $380.19	Professional		$169.82	$208.93	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $3,019.95	Facility		$316.23	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $380.19	Professional		$165.96	$218.78	$380.19