Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $7,079.46 / $12,022.64	Facility		$812.83	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $5,128.61	Professional		$398.11	$489.78	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $15,135.61	Facility		$1,698.24	$3,715.35	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $812.83	Professional		$380.19	$457.09	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $436.52 / $489.78	Facility		$407.38	$436.52	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $21,379.62	Facility		$363.08	$549.54	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $870.96	Professional		$363.08	$562.34	$870.96
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 $371.54 / $562.34 / $870.96	Professional		$371.54	$562.34	$870.96
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 / $7,943.28	Facility		$100.00	$100.00	$7,943.28
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $891.25	Professional		$407.38	$478.63	$891.25
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 $363.08 / $489.78 / $776.25	Professional		$363.08	$489.78	$776.25