Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,445.44	Facility		$562.34	$1,023.29	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $724.44	Professional		$354.81	$489.78	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $630.96 / $1,096.48	Facility		$549.54	$630.96	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,479.11	Professional		$501.19	$794.33	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $8,317.64 / $41,686.94	Facility		$549.54	$8,317.64	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $9,332.54 / $16,595.87	Professional		$741.31	$9,332.54	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $2,041.74	Facility		$389.05	$389.05	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $758.58	Professional		$346.74	$691.83	$758.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $2,454.71	Facility		$398.11	$616.60	$2,454.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,380.38	Professional		$512.86	$660.69	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $537.03 / $602.56	Facility		$213.80	$537.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $691.83	Professional		$251.19	$354.81	$691.83