Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $8,912.51 / $11,748.98	Facility		$776.25	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,513.56	Professional		$630.96	$776.25	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,456.54 / $15,135.61	Facility		$1,698.24	$6,456.54	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,174.90	Professional		$575.44	$724.44	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $891.25	Facility		$676.08	$691.83	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $851.14	Professional		$758.58	$758.58	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,096.48 / $1,230.27	Facility		$34.67	$1,096.48	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,548.82	Professional		$575.44	$912.01	$1,548.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,230.27 / $21,379.62	Facility		$426.58	$1,230.27	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,445.44	Professional		$537.03	$870.96	$1,445.44
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 Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,548.82	Professional		$691.83	$812.83	$1,548.82
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 $549.54 / $758.58 / $1,230.27	Professional		$549.54	$758.58	$1,230.27