Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,884.03 / $10,715.19	Facility		$173.78	$2,884.03	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $478.63	Professional		$114.82	$186.21	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $3,981.07	Facility		$776.25	$2,238.72	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $208.93	Professional		$102.33	$138.04	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Facility		$120.23	$120.23	$144.54
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 $131.83 / $204.17 / $323.59	Professional		$131.83	$204.17	$323.59
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 $131.83 / $204.17 / $338.84	Professional		$131.83	$204.17	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
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 $117.49 / $199.53 / $323.59	Professional		$117.49	$199.53	$323.59
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 $107.15 / $173.78 / $288.40	Professional		$107.15	$173.78	$288.40