Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,888.44 / $10,964.78	Facility		$354.81	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $602.56	Professional		$177.83	$213.80	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,511.89 / $7,943.28	Facility		$954.99	$2,511.89	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $316.23	Professional		$154.88	$194.98	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $1,737.80	Facility		$181.97	$208.93	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $229.09	Professional		$204.17	$204.17	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $562.34 / $2,818.38	Facility		$213.80	$562.34	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $457.09	Professional		$181.97	$257.04	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $575.44 / $2,818.38	Facility		$331.13	$575.44	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $426.58	Professional		$181.97	$257.04	$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 / $208.93 / $398.11	Professional		$181.97	$208.93	$398.11
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 $151.36 / $204.17 / $331.13	Professional		$151.36	$204.17	$331.13