Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $8,912.51 / $11,748.98	Facility		$281.84	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $549.54	Professional		$223.87	$288.40	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $20,417.38	Facility		$2,511.89	$9,549.93	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $588.84	Professional		$257.04	$338.84	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $316.23	Facility		$263.03	$269.15	$316.23
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 $269.15 / $371.54 / $575.44	Professional		$269.15	$371.54	$575.44
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 $269.15 / $389.05 / $575.44	Professional		$269.15	$389.05	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $562.34	Professional		$257.04	$302.00	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $512.86	Professional		$245.47	$323.59	$512.86