Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $5,128.61 / $11,748.98	Facility		$331.13	$5,128.61	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $1,023.29	Professional		$177.83	$229.09	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $7,943.28	Facility		$1,000.00	$2,754.23	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $323.59	Professional		$158.49	$199.53	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $213.80 / $1,737.80	Facility		$186.21	$213.80	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $234.42	Professional		$208.93	$208.93	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $602.56 / $2,290.87	Facility		$208.93	$602.56	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $457.09	Professional		$186.21	$263.03	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $691.83 / $2,818.38	Facility		$338.84	$691.83	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $426.58	Professional		$186.21	$263.03	$426.58
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 $181.97 / $213.80 / $407.38	Professional		$181.97	$213.80	$407.38
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 $154.88 / $208.93 / $338.84	Professional		$154.88	$208.93	$338.84