Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $2,344.23 / $10,715.19	Facility		$95.50	$2,344.23	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $100.00 / $346.74	Professional		$44.67	$100.00	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $107.15	Professional		$45.71	$58.88	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $48.98 / $54.95	Facility		$45.71	$48.98	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $91.20 / $21,379.62	Facility		$41.69	$91.20	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $199.53	Professional		$54.95	$114.82	$199.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $21,379.62	Facility		$831.76	$1,000.00	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $199.53	Professional		$54.95	$114.82	$199.53
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 / $870.96	Facility		$100.00	$100.00	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $102.33 / $194.98	Professional		$43.65	$102.33	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $173.78	Professional		$47.86	$93.33	$173.78