Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,715.35 / $10,715.19	Facility		$524.81	$3,715.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $977.24	Professional		$263.03	$323.59	$977.24
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 $275.42 / $338.84 / $537.03	Professional		$275.42	$338.84	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $295.12 / $3,981.07	Facility		$263.03	$295.12	$3,981.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $331.13	Professional		$288.40	$288.40	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $524.81 / $4,786.30	Facility		$407.38	$524.81	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $660.69	Professional		$257.04	$389.05	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $6,456.54	Facility		$478.63	$602.56	$6,456.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $616.60	Professional		$239.88	$371.54	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $52.48	Professional		$32.36	$33.11	$52.48
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $7,943.28	Facility		$100.00	$100.00	$7,943.28
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $588.84	Professional		$263.03	$309.03	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $9,120.11	Facility		$933.25	$5,128.61	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $524.81	Professional		$229.09	$331.13	$524.81