Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,174.90 / $1,862.09	Facility		$676.08	$1,174.90	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,288.25	Professional		$436.52	$691.83	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $1,548.82	Facility		$776.25	$891.25	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $954.99	Professional		$338.84	$398.11	$954.99
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $977.24	Facility		$758.58	$758.58	$977.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $2,884.03	Facility		$549.54	$549.54	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,513.56	Professional		$380.19	$676.08	$1,513.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $2,884.03	Facility		$549.54	$870.96	$2,884.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $1,659.59	Professional		$380.19	$489.78	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,949.84	Professional		$549.54	$891.25	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $831.76	Facility		$295.12	$416.87	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $831.76	Professional		$245.47	$416.87	$831.76