Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $8,912.51 / $11,748.98	Facility		$549.54	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $6,309.57	Professional		$436.52	$512.86	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,388.44 / $15,135.61	Facility		$954.99	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $676.08	Professional		$323.59	$407.38	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $489.78 / $616.60	Facility		$467.74	$489.78	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $588.84	Professional		$524.81	$524.81	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $851.14 / $1,202.26	Facility		$34.67	$851.14	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,258.93	Professional		$426.58	$660.69	$1,258.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $851.14 / $21,379.62	Facility		$426.58	$851.14	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,096.48	Professional		$436.52	$630.96	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $269.15 / $389.05	Professional		$33.11	$269.15	$389.05
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $812.83	Professional		$363.08	$426.58	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $724.44	Professional		$331.13	$478.63	$724.44