Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $7,585.78 / $12,022.64	Facility		$776.25	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $1,230.27	Professional		$380.19	$457.09	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $741.31	Professional		$363.08	$457.09	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $3,388.44	Facility		$380.19	$426.58	$3,388.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $478.63	Professional		$416.87	$416.87	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $5,495.41	Facility		$524.81	$691.83	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $912.01	Professional		$346.74	$537.03	$912.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $5,495.41	Facility		$575.44	$691.83	$5,495.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $870.96	Professional		$338.84	$524.81	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,413.10	Facility		$100.00	$100.00	$7,413.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $812.83	Professional		$371.54	$436.52	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $9,120.11	Facility		$933.25	$5,128.61	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $741.31	Professional		$331.13	$467.74	$741.31