Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,511.89 / $10,715.19	Facility		$234.42	$2,511.89	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $426.58	Professional		$95.50	$229.09	$426.58
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 $89.13 / $117.49 / $186.21	Professional		$89.13	$117.49	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $120.23	Facility		$102.33	$102.33	$120.23
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 $107.15 / $204.17 / $416.87	Professional		$107.15	$204.17	$416.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $21,379.62	Facility		$1,288.25	$1,288.25	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $416.87	Professional		$107.15	$204.17	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
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 $95.50 / $218.78 / $407.38	Professional		$95.50	$218.78	$407.38
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 $89.13 / $177.83 / $371.54	Professional		$89.13	$177.83	$371.54