Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,715.35 / $11,748.98	Facility		$616.60	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $2,238.72	Professional		$380.19	$478.63	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $18,620.87 / $60,255.96	Facility		$1,995.26	$18,620.87	$60,255.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $724.44	Professional		$338.84	$446.68	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $501.19	Facility		$426.58	$426.58	$501.19
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 $389.05 / $562.34 / $831.76	Professional		$389.05	$562.34	$831.76
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 $371.54 / $549.54 / $812.83	Professional		$371.54	$549.54	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $21,877.62	Facility		$100.00	$100.00	$21,877.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $1,047.13	Professional		$467.74	$549.54	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $16,982.44 / $29,512.09	Facility		$6,760.83	$16,982.44	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $741.31	Professional		$309.03	$467.74	$741.31