Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,019.95 / $10,715.19	Facility		$660.69	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,479.11	Professional		$426.58	$588.84	$1,479.11
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 $354.81 / $549.54 / $1,000.00	Professional		$354.81	$549.54	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,288.25	Facility		$524.81	$524.81	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $21,379.62	Facility		$954.99	$1,047.13	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,122.02	Professional		$407.38	$616.60	$1,122.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $21,379.62	Facility		$954.99	$1,047.13	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,174.90	Professional		$416.87	$645.65	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $562.34 / $2,951.21	Facility		$100.00	$562.34	$2,951.21
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,148.15	Professional		$389.05	$630.96	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,265.80 / $7,244.36	Facility		$1,778.28	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $977.24	Professional		$398.11	$575.44	$977.24