Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,888.44 / $10,964.78	Facility		$812.83	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,230.27	Professional		$389.05	$489.78	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,019.95 / $7,943.28	Facility		$954.99	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $724.44	Professional		$346.74	$446.68	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $1,737.80	Facility		$398.11	$446.68	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $489.78	Professional		$436.52	$436.52	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $707.95 / $2,137.96	Facility		$436.52	$707.95	$2,137.96
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 / $707.95 / $2,818.38	Facility		$575.44	$707.95	$2,818.38
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 / $81.28	Professional		$32.36	$33.11	$81.28
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,388.44	Facility		$100.00	$100.00	$3,388.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $933.25	Professional		$416.87	$489.78	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,168.69 / $7,244.36	Facility		$794.33	$4,168.69	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $741.31	Professional		$338.84	$446.68	$741.31