Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,168.69	Facility		$1,659.59	$2,454.71	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $1,659.59	Professional		$758.58	$1,348.96	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $2,089.30	Professional		$338.84	$380.19	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $24,547.09 / $41,686.94	Facility		$1,621.81	$24,547.09	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $27,542.29 / $47,863.01	Professional		$2,137.96	$27,542.29	$47,863.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,630.78	Facility		$1,122.02	$1,122.02	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,041.74 / $2,238.72	Professional		$891.25	$2,041.74	$2,238.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $4,570.88	Facility		$1,122.02	$1,778.28	$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 $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $4,073.80	Professional		$1,479.11	$1,905.46	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,584.89 / $1,737.80	Facility		$630.96	$1,584.89	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,737.80	Professional		$467.74	$676.08	$1,737.80