Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,951.21 / $10,232.93	Facility		$407.38	$2,951.21	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $812.83	Professional		$234.42	$371.54	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $15,135.61	Facility		$1,698.24	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $467.74	Professional		$204.17	$269.15	$467.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $398.11 / $691.83	Professional	50	$302.00	$398.11	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $257.04 / $288.40	Facility		$239.88	$257.04	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $21,379.62	Facility		$213.80	$407.38	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $691.83	Professional		$251.19	$398.11	$691.83
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 $251.19 / $407.38 / $707.95	Professional		$251.19	$407.38	$707.95
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 / $100.00 / $3,548.13	Facility		$100.00	$100.00	$3,548.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $758.58	Professional		$234.42	$398.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $5,248.07	Facility		$1,778.28	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $645.65	Professional		$234.42	$371.54	$645.65