Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $5,888.44 / $10,964.78	Facility		$630.96	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $1,096.48	Professional		$309.03	$371.54	$1,096.48
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 / $645.65	Professional		$323.59	$407.38	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $346.74 / $2,691.53	Facility		$316.23	$346.74	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $389.05	Professional		$346.74	$346.74	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $4,365.16	Facility		$562.34	$707.95	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $776.25	Professional		$281.84	$457.09	$776.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $4,365.16	Facility		$562.34	$575.44	$4,365.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $724.44	Professional		$281.84	$446.68	$724.44
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 / $7,943.28	Facility		$100.00	$100.00	$7,943.28
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $691.83	Professional		$316.23	$371.54	$691.83
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 $275.42 / $398.11 / $630.96	Professional		$275.42	$398.11	$630.96