Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $2,630.27 / $10,715.19	Facility		$95.50	$2,630.27	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $245.47	Professional		$64.57	$128.82	$245.47
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 $67.61 / $89.13 / $147.91	Professional		$67.61	$89.13	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $74.13 / $97.72	Facility		$57.54	$74.13	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $269.15	Professional		$120.23	$158.49	$269.15
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 $70.79 / $131.83 / $234.42	Professional		$70.79	$131.83	$234.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,230.27 / $12,589.25	Facility		$93.33	$1,230.27	$12,589.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $229.09	Professional		$66.07	$123.03	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
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 $58.88 / $144.54 / $218.78	Professional		$58.88	$144.54	$218.78
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 $63.10 / $120.23 / $218.78	Professional		$63.10	$120.23	$218.78