Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $8,912.51 / $11,748.98	Facility		$912.01	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,737.80	Professional		$794.33	$933.25	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,365.16 / $16,982.44	Facility		$1,071.52	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,659.59	Professional		$812.83	$1,023.29	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $891.25 / $3,630.78	Facility		$794.33	$891.25	$3,630.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $977.24	Professional		$870.96	$870.96	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,412.54 / $4,466.84	Facility		$524.81	$1,412.54	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $1,819.70	Professional		$630.96	$1,096.48	$1,819.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,412.54 / $5,888.44	Facility		$562.34	$1,412.54	$5,888.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $1,698.24	Professional		$549.54	$1,047.13	$1,698.24
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 $776.25 / $912.01 / $1,737.80	Professional		$776.25	$912.01	$1,737.80
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 $660.69 / $933.25 / $1,479.11	Professional		$660.69	$933.25	$1,479.11