Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,232.93 / $12,022.64	Facility		$5,128.61	$10,232.93	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $891.25 / $11,481.54	Professional		$234.42	$891.25	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $7,244.36 / $17,782.79	Facility		$707.95	$7,244.36	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $60,255.96 / $79,432.82	Facility		$1,621.81	$60,255.96	$79,432.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $79,432.82	Professional		$75,857.76	$75,857.76	$79,432.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $21,379.62	Facility		$34.67	$562.34	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $21,379.62	Facility		$524.81	$575.44	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $2,238.72	Professional		$389.05	$389.05	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,148.15	Facility		$100.00	$100.00	$1,148.15
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,737.80 / $3,981.07	Facility		$489.78	$1,737.80	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90