Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,951.21 / $10,232.93	Facility		$229.09	$2,951.21	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $524.81	Professional		$131.83	$251.19	$524.81
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 $109.65 / $177.83 / $331.13	Professional		$109.65	$177.83	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $234.42	Facility		$125.89	$144.54	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $158.49	Professional		$141.25	$141.25	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $229.09 / $562.34	Facility		$112.20	$229.09	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $478.63	Professional		$141.25	$257.04	$478.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $1,318.26	Facility		$229.09	$380.19	$1,318.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $457.09	Professional		$141.25	$257.04	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,511.89	Facility		$100.00	$100.00	$2,511.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $549.54	Professional		$131.83	$288.40	$549.54
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 $120.23 / $208.93 / $371.54	Professional		$120.23	$208.93	$371.54