Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,162.28	Facility		$1,230.27	$1,949.84	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,412.54	Professional		$776.25	$1,047.13	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $1,584.89	Professional		$288.40	$331.13	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $18,197.01 / $41,686.94	Facility		$1,202.26	$18,197.01	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $20,417.38 / $36,307.81	Professional		$1,621.81	$20,417.38	$36,307.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $2,754.23	Facility		$851.14	$851.14	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $1,659.59	Professional		$891.25	$1,513.56	$1,659.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $4,570.88	Facility		$851.14	$1,348.96	$4,570.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $3,019.95	Professional		$1,096.48	$1,445.44	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,174.90 / $1,318.26	Facility		$467.74	$1,174.90	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,479.11	Professional		$467.74	$676.08	$1,479.11