Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,949.84 / $8,128.31	Facility		$602.56	$1,949.84	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $616.60 / $6,456.54	Professional		$75.86	$616.60	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $8,128.31 / $17,782.79	Facility		$1,348.96	$8,128.31	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,888.44 / $6,456.54	Facility		$4,897.79	$5,888.44	$6,456.54
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $954.99 / $6,025.60	Facility		$354.81	$954.99	$6,025.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $37.15 / $275.42	Professional		$13.18	$37.15	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $380.19	Facility		$100.00	$100.00	$380.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21