Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,019.95 / $10,715.19	Facility		$371.54	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $676.08	Professional		$229.09	$331.13	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,884.03 / $7,943.28	Facility		$954.99	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $446.68	Professional		$151.36	$251.19	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $1,737.80	Facility		$229.09	$257.04	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $281.84	Professional		$251.19	$251.19	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $2,818.38	Facility		$407.38	$602.56	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $645.65	Professional		$234.42	$354.81	$645.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $524.81 / $2,818.38	Facility		$407.38	$524.81	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $588.84	Professional		$234.42	$354.81	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
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 $239.88 / $380.19 / $707.95	Professional		$239.88	$380.19	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $5,248.07	Facility		$676.08	$2,398.83	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $489.78	Professional		$194.98	$295.12	$489.78