Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $10,964.78	Facility		$2,818.38	$4,073.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,548.13	Professional		$1,737.80	$2,630.27	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,659.59	Professional		$549.54	$758.58	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $354.81 / $398.11	Facility		$46.77	$354.81	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $380.19 / $7,762.47	Facility		$104.71	$380.19	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,071.52	Professional		$380.19	$602.56	$1,071.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $5,754.40 / $9,772.37	Facility		$660.69	$5,754.40	$9,772.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $1,071.52	Professional		$363.08	$562.34	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,513.56	Professional		$676.08	$851.14	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $2,398.83 / $7,585.78	Facility		$58.88	$2,398.83	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,513.56 / $3,311.31	Professional		$524.81	$1,513.56	$3,311.31