Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $4,570.88 / $10,964.78	Facility		$234.42	$4,570.88	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $467.74	Professional		$154.88	$218.78	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,388.44 / $16,982.44	Facility		$1,071.52	$3,388.44	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $302.00	Professional		$128.82	$181.97	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $3,630.78	Facility		$151.36	$173.78	$3,630.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $190.55	Professional		$165.96	$165.96	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $5,888.44	Facility		$34.67	$562.34	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $446.68	Professional		$162.18	$239.88	$446.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $575.44 / $5,888.44	Facility		$269.15	$575.44	$5,888.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $407.38	Professional		$162.18	$234.42	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
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 $154.88 / $239.88 / $446.68	Professional		$154.88	$239.88	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $5,248.07	Facility		$676.08	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $346.74	Professional		$141.25	$208.93	$346.74