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 $457.09 / $616.60 / $912.01	Professional		$457.09	$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 $302.00 / $346.74 / $954.99	Professional		$302.00	$346.74	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $10,715.19 / $41,686.94	Facility		$707.95	$10,715.19	$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 / $1,584.89	Facility		$489.78	$489.78	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $977.24	Professional		$602.56	$891.25	$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 $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
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 $575.44 / $794.33 / $1,513.56	Professional		$575.44	$794.33	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $691.83 / $758.58	Facility		$275.42	$691.83	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $870.96	Professional		$316.23	$457.09	$870.96