Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,412.54 / $1,995.26	Facility		$794.33	$1,412.54	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,047.13	Professional		$588.84	$691.83	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,348.96	Professional		$724.44	$891.25	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $13,182.57 / $23,442.29	Professional		$1,023.29	$13,182.57	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,778.28	Facility		$549.54	$549.54	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,202.26	Professional		$549.54	$954.99	$1,202.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $1,778.28	Facility		$549.54	$870.96	$1,778.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,659.59	Professional		$549.54	$891.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $831.76	Facility		$302.00	$549.54	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $831.76	Professional		$354.81	$501.19	$831.76