Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,818.38 / $10,715.19	Facility		$354.81	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $2,089.30	Professional		$177.83	$223.87	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $15,135.61	Facility		$1,548.82	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $354.81	Professional		$162.18	$204.17	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $1,995.26	Facility		$234.42	$234.42	$1,995.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $21,379.62	Facility		$1,479.11	$1,621.81	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $407.38	Professional		$162.18	$251.19	$407.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $21,379.62	Facility		$1,479.11	$1,621.81	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $426.58	Professional		$177.83	$257.04	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $891.25 / $4,786.30	Facility		$100.00	$891.25	$4,786.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $380.19	Professional		$162.18	$190.55	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,754.40 / $9,120.11	Facility		$2,137.96	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $354.81	Professional		$162.18	$208.93	$354.81