Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $3,715.35 / $10,715.19	Facility		$194.98	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $478.63	Professional		$102.33	$128.82	$478.63
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 $104.71 / $141.25 / $218.78	Professional		$104.71	$141.25	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Facility		$112.20	$112.20	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $181.97 / $21,379.62	Facility		$141.25	$181.97	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $229.09	Professional		$109.65	$158.49	$229.09
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 $104.71 / $158.49 / $234.42	Professional		$104.71	$158.49	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
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 $102.33 / $120.23 / $229.09	Professional		$102.33	$120.23	$229.09
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 $89.13 / $134.90 / $208.93	Professional		$89.13	$134.90	$208.93