Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,754.23 / $10,715.19	Facility		$223.87	$2,754.23	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $758.58	Professional		$125.89	$234.42	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $7,943.28	Facility		$954.99	$2,691.53	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $331.13	Professional		$154.88	$204.17	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $131.83 / $794.33	Facility		$117.49	$131.83	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $144.54	Professional		$128.82	$128.82	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $208.93 / $954.99	Facility		$34.67	$208.93	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $426.58	Professional		$131.83	$218.78	$426.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $870.96 / $2,290.87	Facility		$208.93	$870.96	$2,290.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $380.19	Professional		$131.83	$213.80	$380.19
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 / $1,479.11	Facility		$100.00	$100.00	$1,479.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $436.52	Professional		$114.82	$229.09	$436.52
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 $117.49 / $186.21 / $309.03	Professional		$117.49	$186.21	$309.03