Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,818.38 / $11,481.54	Facility		$295.12	$2,818.38	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $2,089.30	Professional		$147.91	$181.97	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $302.00	Professional		$147.91	$177.83	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $169.82 / $194.98	Facility		$162.18	$169.82	$194.98
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 $165.96 / $229.09 / $346.74	Professional		$165.96	$229.09	$346.74
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 $177.83 / $229.09 / $363.08	Professional		$177.83	$229.09	$363.08
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 $151.36 / $177.83 / $338.84	Professional		$151.36	$177.83	$338.84
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 $147.91 / $208.93 / $338.84	Professional		$147.91	$208.93	$338.84