Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,265.80 / $10,964.78	Facility		$389.05	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $977.24	Professional		$288.40	$346.74	$977.24
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 $275.42 / $354.81 / $588.84	Professional		$275.42	$354.81	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $316.23 / $354.81	Facility		$295.12	$316.23	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $371.54 / $21,379.62	Facility		$263.03	$371.54	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $660.69	Professional		$309.03	$436.52	$660.69
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 $316.23 / $436.52 / $676.08	Professional		$316.23	$436.52	$676.08
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 $288.40 / $371.54 / $758.58	Professional		$288.40	$371.54	$758.58
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 $275.42 / $363.08 / $616.60	Professional		$275.42	$363.08	$616.60