Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,819.70	Facility		$724.44	$1,288.25	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $912.01	Professional		$512.86	$616.60	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,412.54	Facility		$691.83	$794.33	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $302.00 / $954.99	Professional		$107.15	$302.00	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $10,471.29 / $41,686.94	Facility		$707.95	$10,471.29	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $12,022.64 / $20,892.96	Professional		$933.25	$12,022.64	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $2,570.40	Facility		$489.78	$489.78	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $870.96 / $977.24	Professional		$446.68	$870.96	$977.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $3,090.30	Facility		$512.86	$776.25	$3,090.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,778.28	Professional		$645.65	$831.76	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $676.08 / $758.58	Facility		$275.42	$676.08	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $870.96	Professional		$316.23	$457.09	$870.96