Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,570.40 / $10,715.19	Facility		$380.19	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $758.58	Professional		$223.87	$398.11	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $3,981.07	Facility		$707.95	$2,238.72	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $489.78	Professional		$208.93	$295.12	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $275.42	Facility		$234.42	$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 $257.04 / $416.87 / $724.44	Professional		$257.04	$416.87	$724.44
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 $251.19 / $407.38 / $741.31	Professional		$251.19	$407.38	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,096.48	Facility		$100.00	$100.00	$1,096.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $676.08	Professional		$218.78	$446.68	$676.08
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 $204.17 / $371.54 / $660.69	Professional		$204.17	$371.54	$660.69