Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,570.40 / $10,715.19	Facility		$302.00	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $389.05 / $707.95	Professional		$154.88	$389.05	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,398.83 / $7,943.28	Facility		$954.99	$2,398.83	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $537.03	Professional		$162.18	$257.04	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $1,096.48	Facility		$147.91	$169.82	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $186.21	Professional		$165.96	$165.96	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $457.09 / $1,778.28	Facility		$269.15	$457.09	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $707.95	Professional		$169.82	$338.84	$707.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $1,778.28	Facility		$269.15	$398.11	$1,778.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $691.83	Professional		$169.82	$331.13	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,344.23	Facility		$100.00	$100.00	$2,344.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $416.87 / $870.96	Professional		$144.54	$416.87	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $5,248.07	Facility		$676.08	$2,398.83	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $588.84	Professional		$147.91	$309.03	$588.84