Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,715.35 / $10,715.19	Facility		$645.65	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $1,230.27	Professional		$371.54	$457.09	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $7,244.36	Facility		$954.99	$2,691.53	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $645.65	Professional		$316.23	$398.11	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $446.68 / $794.33	Facility		$407.38	$446.68	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $501.19	Professional		$446.68	$446.68	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $1,659.59	Facility		$436.52	$724.44	$1,659.59
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 $512.86 / $724.44 / $1,288.25	Facility		$512.86	$724.44	$1,288.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $851.14	Professional		$346.74	$524.81	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,479.11	Facility		$100.00	$100.00	$1,479.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $933.25	Professional		$426.58	$501.19	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $4,897.79	Facility		$676.08	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $741.31	Professional		$331.13	$436.52	$741.31