Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $8,912.51 / $11,748.98	Facility		$676.08	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,318.26	Professional		$575.44	$676.08	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $9,549.93 / $21,379.62	Facility		$2,238.72	$9,549.93	$21,379.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,202.26	Professional		$575.44	$758.58	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $630.96 / $776.25	Facility		$588.84	$630.96	$776.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $741.31	Professional		$660.69	$660.69	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $707.95 / $1,071.52	Facility		$34.67	$707.95	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,380.38	Professional		$512.86	$812.83	$1,380.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,071.52 / $21,379.62	Facility		$426.58	$1,071.52	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,288.25	Professional		$478.63	$794.33	$1,288.25
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 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,258.93	Professional		$562.34	$660.69	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,096.48	Professional		$489.78	$676.08	$1,096.48