Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,862.09	Facility		$724.44	$1,148.15	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $977.24	Professional		$524.81	$630.96	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,230.27	Professional		$309.03	$467.74	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $891.25	Facility		$537.03	$537.03	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $12,022.64 / $21,379.62	Professional		$954.99	$12,022.64	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,621.81	Facility		$501.19	$501.19	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,096.48	Professional		$501.19	$891.25	$1,096.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,621.81	Facility		$501.19	$794.33	$1,621.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,548.82	Professional		$501.19	$812.83	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $776.25	Facility		$275.42	$501.19	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $776.25	Professional		$323.59	$467.74	$776.25