Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,000.00	Facility		$354.81	$645.65	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $354.81 / $549.54	Professional		$128.82	$354.81	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $467.74 / $812.83	Facility		$407.38	$467.74	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $630.96	Professional		$177.83	$218.78	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $1,513.56	Facility		$288.40	$288.40	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $239.88 / $794.33	Professional		$81.28	$239.88	$794.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $1,513.56	Facility		$295.12	$457.09	$1,513.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $870.96	Professional		$81.28	$223.87	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $549.54	Professional		$331.13	$398.11	$549.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,023.29	Professional		$371.54	$478.63	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $398.11 / $436.52	Facility		$97.72	$398.11	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $208.93 / $501.19	Professional		$74.13	$208.93	$501.19