Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,570.40 / $10,715.19	Facility		$524.81	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,148.15	Professional		$398.11	$524.81	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $812.83	Professional		$363.08	$446.68	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $501.19	Facility		$338.84	$338.84	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $281.84 / $21,379.62	Facility		$251.19	$281.84	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $933.25	Professional		$371.54	$549.54	$933.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $281.84 / $21,379.62	Facility		$251.19	$281.84	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $933.25	Professional		$389.05	$562.34	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $676.08	Facility		$100.00	$154.88	$676.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,071.52	Professional		$389.05	$512.86	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,862.09 / $4,073.80	Facility		$676.08	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $794.33	Professional		$363.08	$467.74	$794.33