Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,570.40 / $10,715.19	Facility		$162.18	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $489.78	Professional		$79.43	$239.88	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,778.28 / $3,981.07	Facility		$707.95	$1,778.28	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $331.13	Professional		$81.28	$128.82	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $616.60	Facility		$81.28	$89.13	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $100.00	Professional		$89.13	$89.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $363.08 / $1,318.26	Facility		$91.20	$363.08	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $478.63	Professional		$89.13	$213.80	$478.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $398.11 / $1,000.00	Facility		$144.54	$398.11	$1,000.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $457.09	Professional		$89.13	$208.93	$457.09
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 / $1,148.15	Facility		$100.00	$100.00	$1,148.15
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $257.04 / $588.84	Professional		$83.18	$257.04	$588.84
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 $75.86 / $181.97 / $380.19	Professional		$75.86	$181.97	$380.19