Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $5,888.44 / $10,964.78	Facility		$467.74	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $4,265.80	Professional		$218.78	$275.42	$4,265.80
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 $234.42 / $295.12 / $524.81	Professional		$234.42	$295.12	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $251.19 / $288.40	Facility		$239.88	$251.19	$288.40
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $512.86	Professional		$251.19	$338.84	$512.86
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 $251.19 / $346.74 / $524.81	Professional		$251.19	$346.74	$524.81
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 $229.09 / $269.15 / $512.86	Professional		$229.09	$269.15	$512.86
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 $218.78 / $288.40 / $512.86	Professional		$218.78	$288.40	$512.86