Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $10,715.19	Facility		$851.14	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,995.26	Professional		$346.74	$524.81	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $7,943.28	Facility		$1,000.00	$2,238.72	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $707.95	Professional		$316.23	$407.38	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,513.56	Facility		$549.54	$549.54	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $21,379.62	Facility		$1,122.02	$1,258.93	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $933.25	Professional		$354.81	$524.81	$933.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $21,379.62	Facility		$1,122.02	$1,258.93	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $933.25	Professional		$354.81	$549.54	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $645.65 / $2,818.38	Facility		$100.00	$645.65	$2,818.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $954.99	Professional		$416.87	$489.78	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $954.99 / $3,019.95	Facility		$223.87	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $776.25	Professional		$338.84	$436.52	$776.25