Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,019.95 / $10,715.19	Facility		$239.88	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $602.56	Professional		$158.49	$218.78	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $7,943.28	Facility		$1,000.00	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $354.81	Professional		$154.88	$204.17	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $194.98	Facility		$162.18	$173.78	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $21,379.62	Facility		$144.54	$208.93	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $371.54	Professional		$169.82	$245.47	$371.54
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 $173.78 / $245.47 / $389.05	Professional		$173.78	$245.47	$389.05
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 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $416.87	Professional		$154.88	$234.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $7,413.10	Facility		$2,398.83	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $354.81	Professional		$151.36	$208.93	$354.81