Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $8,912.51 / $11,748.98	Facility		$630.96	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $1,174.90	Professional		$501.19	$616.60	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $7,943.28	Facility		$954.99	$2,691.53	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,000.00	Professional		$512.86	$616.60	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $562.34 / $707.95	Facility		$537.03	$562.34	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $676.08	Professional		$602.56	$602.56	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $575.44 / $1,202.26	Facility		$34.67	$575.44	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,258.93	Professional		$478.63	$724.44	$1,258.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $602.56 / $1,202.26	Facility		$398.11	$602.56	$1,202.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,148.15	Professional		$457.09	$707.95	$1,148.15
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 / $1,905.46	Facility		$100.00	$100.00	$1,905.46
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,230.27	Professional		$562.34	$660.69	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $4,897.79	Facility		$676.08	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,000.00	Professional		$446.68	$616.60	$1,000.00