Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,585.78 / $12,022.64	Facility		$1,348.96	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $3,019.95	Professional		$851.14	$1,000.00	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,981.07 / $16,982.44	Facility		$1,412.54	$3,981.07	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,659.59	Professional		$794.33	$1,023.29	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $954.99 / $3,630.78	Facility		$851.14	$954.99	$3,630.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,047.13	Professional		$933.25	$933.25	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $5,888.44	Facility		$758.58	$1,513.56	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $1,905.46	Professional		$676.08	$1,174.90	$1,905.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $5,888.44	Facility		$794.33	$1,513.56	$5,888.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $1,819.70	Professional		$562.34	$1,122.02	$1,819.70
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 / $7,244.36	Facility		$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,862.09	Professional		$831.76	$977.24	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,456.54 / $10,964.78	Facility		$1,047.13	$6,456.54	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,548.82	Professional		$707.95	$977.24	$1,548.82