Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,818.38 / $10,715.19	Facility		$467.74	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $707.95	Professional		$223.87	$263.03	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $7,943.28	Facility		$954.99	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $707.95	Professional		$331.13	$436.52	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $1,737.80	Facility		$229.09	$257.04	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $288.40	Professional		$257.04	$257.04	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $457.09 / $2,818.38	Facility		$34.67	$457.09	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $524.81	Professional		$223.87	$323.59	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $2,818.38	Facility		$398.11	$457.09	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $512.86	Professional		$229.09	$323.59	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,168.69 / $7,413.10	Facility		$794.33	$4,168.69	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $426.58	Professional		$194.98	$263.03	$426.58