Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,905.46 / $2,290.87	Facility		$912.01	$1,905.46	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $2,398.83	Professional		$912.01	$1,778.28	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,621.81	Professional		$794.33	$954.99	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $3,090.30	Facility		$588.84	$588.84	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $794.33 / $1,819.70	Professional		$416.87	$794.33	$1,819.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $933.25 / $3,715.35	Facility		$616.60	$933.25	$3,715.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $2,041.74	Professional		$416.87	$489.78	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,122.02	Professional		$691.83	$831.76	$1,122.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,137.96	Professional		$776.25	$1,000.00	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $831.76 / $912.01	Facility		$331.13	$831.76	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,047.13	Professional		$380.19	$549.54	$1,047.13