Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,884.03 / $10,715.19	Facility		$91.20	$2,884.03	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $288.40	Professional		$52.48	$104.71	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $120.23	Professional		$53.70	$72.44	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $58.88	Facility		$50.12	$50.12	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $21,379.62	Facility		$91.20	$181.97	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $194.98	Professional		$58.88	$107.15	$194.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,120.11 / $21,379.62	Facility		$2,454.71	$9,120.11	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $186.21	Professional		$58.88	$102.33	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $47.86	Professional		$32.36	$33.11	$47.86
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 $50.12 / $117.49 / $186.21	Professional		$50.12	$117.49	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $177.83	Professional		$51.29	$97.72	$177.83