Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,570.40 / $10,715.19	Facility		$489.78	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $891.25	Professional		$302.00	$446.68	$891.25
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 $239.88 / $338.84 / $575.44	Professional		$239.88	$338.84	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $331.13 / $407.38	Facility		$295.12	$331.13	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $363.08	Professional		$323.59	$323.59	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $524.81 / $660.69	Facility		$263.03	$524.81	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $851.14	Professional		$295.12	$457.09	$851.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $660.69	Facility		$489.78	$524.81	$660.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $776.25	Professional		$302.00	$446.68	$776.25
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 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $933.25	Professional		$295.12	$501.19	$933.25
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 $269.15 / $398.11 / $660.69	Professional		$269.15	$398.11	$660.69