Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,630.27 / $10,715.19	Facility		$181.97	$2,630.27	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $389.05	Professional		$79.43	$177.83	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,187.76 / $3,981.07	Facility		$660.69	$2,187.76	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $263.03	Professional		$79.43	$151.36	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $162.18	Facility		$77.62	$87.10	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $158.49 / $602.56	Facility		$34.67	$158.49	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $363.08	Professional		$89.13	$199.53	$363.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $602.56	Facility		$138.04	$181.97	$602.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $354.81	Professional		$87.10	$199.53	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,122.02	Facility		$100.00	$100.00	$1,122.02
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $371.54	Professional		$70.79	$186.21	$371.54
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 $75.86 / $151.36 / $288.40	Professional		$75.86	$151.36	$288.40