Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,467.37 / $10,715.19	Facility		$186.21	$3,467.37	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $467.74	Professional		$125.89	$204.17	$467.74
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 $131.83 / $169.82 / $288.40	Professional		$131.83	$169.82	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $144.54 / $169.82	Facility		$141.25	$144.54	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $223.87 / $21,379.62	Facility		$117.49	$223.87	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $371.54	Professional		$154.88	$234.42	$371.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $21,379.62	Facility		$2,398.83	$2,398.83	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $371.54	Professional		$154.88	$234.42	$371.54
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 $138.04 / $234.42 / $380.19	Professional		$138.04	$234.42	$380.19
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 $138.04 / $204.17 / $346.74	Professional		$138.04	$204.17	$346.74