Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,818.38 / $10,715.19	Facility		$645.65	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $1,122.02	Professional		$338.84	$416.87	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $645.65	Professional		$309.03	$398.11	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $363.08 / $426.58	Facility		$323.59	$363.08	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $407.38	Professional		$354.81	$354.81	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $549.54 / $1,202.26	Facility		$34.67	$549.54	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $851.14	Professional		$331.13	$467.74	$851.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $1,202.26	Facility		$398.11	$588.84	$1,202.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $812.83	Professional		$331.13	$457.09	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $537.03	Facility		$100.00	$100.00	$537.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $691.83	Professional		$309.03	$363.08	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $912.01 / $2,884.03	Facility		$213.80	$912.01	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $630.96	Professional		$288.40	$398.11	$630.96