Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,715.35 / $10,715.19	Facility		$588.84	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $870.96	Professional		$281.84	$331.13	$870.96
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 $363.08 / $478.63 / $758.58	Professional		$363.08	$478.63	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $323.59 / $831.76	Facility		$288.40	$323.59	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $363.08	Professional		$316.23	$316.23	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $1,348.96	Facility		$34.67	$562.34	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $660.69	Professional		$269.15	$398.11	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $575.44 / $1,348.96	Facility		$512.86	$575.44	$1,348.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $630.96	Professional		$275.42	$389.05	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,905.46	Facility		$100.00	$100.00	$1,905.46
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 $676.08 / $2,398.83 / $4,897.79	Facility		$676.08	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $537.03	Professional		$245.47	$331.13	$537.03