Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $512.86	Facility		$141.25	$208.93	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $346.74	Professional		$120.23	$144.54	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $549.54	Professional		$204.17	$354.81	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $70.79 / $138.04	Facility		$67.61	$70.79	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $457.09 / $7,762.47	Facility		$75.86	$457.09	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $588.84	Professional		$134.90	$229.09	$588.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $5,495.41 / $9,332.54	Facility		$194.98	$5,495.41	$9,332.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $645.65	Professional		$128.82	$218.78	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
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 $154.88 / $190.55 / $346.74	Professional		$154.88	$190.55	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $2,398.83 / $7,585.78	Facility		$77.62	$2,398.83	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $512.86	Professional		$131.83	$190.55	$512.86