Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $8,912.51 / $11,748.98	Facility		$309.03	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $588.84	Professional		$245.47	$295.12	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,309.57 / $15,135.61	Facility		$1,698.24	$6,309.57	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $512.86	Professional		$251.19	$316.23	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $338.84	Facility		$257.04	$263.03	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $323.59	Professional		$288.40	$288.40	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $467.74 / $1,202.26	Facility		$34.67	$467.74	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $630.96	Professional		$257.04	$363.08	$630.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,202.26	Facility		$467.74	$467.74	$1,202.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $575.44	Professional		$257.04	$354.81	$575.44
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 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 $257.04 / $302.00 / $562.34	Professional		$257.04	$302.00	$562.34
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 $218.78 / $302.00 / $501.19	Professional		$218.78	$302.00	$501.19