Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,888.44 / $10,964.78	Facility		$794.33	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $4,168.69	Professional		$380.19	$478.63	$4,168.69
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 $371.54 / $457.09 / $812.83	Professional		$371.54	$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 $371.54 / $478.63 / $21,379.62	Facility		$371.54	$478.63	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $870.96	Professional		$363.08	$549.54	$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 / $3,981.07	Facility		$100.00	$100.00	$3,981.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $870.96	Professional		$398.11	$467.74	$870.96
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 $371.54 / $478.63 / $870.96	Professional		$371.54	$478.63	$870.96