Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,630.27 / $10,715.19	Facility		$363.08	$2,630.27	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $912.01	Professional		$173.78	$257.04	$912.01
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 $158.49 / $199.53 / $549.54	Professional		$158.49	$199.53	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $194.98 / $1,096.48	Facility		$177.83	$194.98	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $218.78	Professional		$194.98	$194.98	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $316.23 / $1,318.26	Facility		$34.67	$316.23	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $776.25	Professional		$177.83	$281.84	$776.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $575.44 / $1,778.28	Facility		$316.23	$575.44	$1,778.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $724.44	Professional		$177.83	$275.42	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,344.23	Facility		$100.00	$100.00	$2,344.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $416.87 / $831.76	Professional		$181.97	$416.87	$831.76
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 $151.36 / $208.93 / $478.63	Professional		$151.36	$208.93	$478.63