Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $3,715.35 / $10,715.19	Facility		$245.47	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $1,412.54	Professional		$158.49	$204.17	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,995.26 / $2,511.89	Facility		$776.25	$1,995.26	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $346.74	Professional		$162.18	$218.78	$346.74
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Facility		$173.78	$173.78	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $288.40 / $21,379.62	Facility		$213.80	$288.40	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $363.08	Professional		$162.18	$245.47	$363.08
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 $158.49 / $245.47 / $363.08	Professional		$158.49	$245.47	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
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 $158.49 / $186.21 / $354.81	Professional		$158.49	$186.21	$354.81
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 $138.04 / $208.93 / $331.13	Professional		$138.04	$208.93	$331.13