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 $478.63 / $616.60 / $2,089.30	Professional		$478.63	$616.60	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $933.25	Professional		$426.58	$512.86	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,513.56	Facility		$660.69	$660.69	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
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 $446.68 / $660.69 / $1,096.48	Professional		$446.68	$660.69	$1,096.48
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 $457.09 / $660.69 / $1,174.90	Professional		$457.09	$660.69	$1,174.90
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 / $645.65 / $2,818.38	Facility		$100.00	$645.65	$2,818.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,148.15	Professional		$489.78	$575.44	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,265.80 / $7,244.36	Facility		$1,737.80	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $977.24	Professional		$436.52	$549.54	$977.24