Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $8,912.51 / $11,748.98	Facility		$234.42	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $776.25	Professional		$186.21	$245.47	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $4,073.80	Facility		$707.95	$2,238.72	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $478.63	Professional		$218.78	$281.84	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $234.42 / $275.42	Facility		$229.09	$234.42	$275.42
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 $229.09 / $316.23 / $457.09	Professional		$229.09	$316.23	$457.09
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 $234.42 / $316.23 / $457.09	Professional		$234.42	$316.23	$457.09
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 / $371.54	Facility		$100.00	$100.00	$371.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $489.78	Professional		$218.78	$257.04	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $436.52	Professional		$199.53	$269.15	$436.52