Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $8,912.51 / $11,748.98	Facility		$467.74	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $1,230.27	Professional		$407.38	$501.19	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,388.44 / $7,943.28	Facility		$1,348.96	$3,388.44	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $851.14	Professional		$389.05	$501.19	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $537.03	Facility		$446.68	$457.09	$537.03
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 $446.68 / $602.56 / $933.25	Professional		$446.68	$602.56	$933.25
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 $446.68 / $630.96 / $954.99	Professional		$446.68	$630.96	$954.99
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $1,122.02	Professional		$501.19	$588.84	$1,122.02
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 $407.38 / $537.03 / $870.96	Professional		$407.38	$537.03	$870.96