Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,570.40 / $10,715.19	Facility		$309.03	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $645.65	Professional		$162.18	$316.23	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $489.78	Professional		$138.04	$269.15	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $288.40	Facility		$199.53	$199.53	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $239.88 / $21,379.62	Facility		$213.80	$239.88	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $562.34	Professional		$158.49	$309.03	$562.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $239.88 / $21,379.62	Facility		$213.80	$239.88	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $616.60	Professional		$162.18	$316.23	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $2,951.21	Facility		$100.00	$131.83	$2,951.21
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $616.60	Professional		$147.91	$323.59	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,862.09 / $4,073.80	Facility		$741.31	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $467.74	Professional		$154.88	$281.84	$467.74