Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,019.95 / $10,715.19	Facility		$371.54	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $870.96	Professional		$204.17	$398.11	$870.96
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 $199.53 / $257.04 / $426.58	Professional		$199.53	$257.04	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $251.19	Facility		$213.80	$213.80	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $446.68 / $21,379.62	Facility		$251.19	$446.68	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $758.58	Professional		$234.42	$407.38	$758.58
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 $223.87 / $398.11 / $758.58	Professional		$223.87	$398.11	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
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 $199.53 / $457.09 / $707.95	Professional		$199.53	$457.09	$707.95
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 $208.93 / $398.11 / $776.25	Professional		$208.93	$398.11	$776.25