Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,162.28	Facility		$1,230.27	$1,819.70	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Professional		$891.25	$1,047.13	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,905.46	Professional		$977.24	$1,202.26	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,513.56	Facility		$1,318.26	$1,318.26	$1,513.56
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 $851.14 / $1,513.56 / $1,862.09	Professional		$851.14	$1,513.56	$1,862.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $2,754.23	Facility		$851.14	$1,348.96	$2,754.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
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 $851.14 / $1,380.38 / $2,570.40	Professional		$851.14	$1,380.38	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $851.14 / $1,318.26	Facility		$467.74	$851.14	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,318.26	Professional		$549.54	$776.25	$1,318.26