Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $2,630.27	Facility		$1,659.59	$1,905.46	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,511.89	Professional		$1,479.11	$1,862.09	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $3,388.44	Professional		$1,513.56	$1,778.28	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $309.03	Facility		$154.88	$234.42	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $416.87	Professional		$204.17	$281.84	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,949.84 / $1,949.84	Facility		$223.87	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,691.53	Professional		$1,659.59	$1,659.59	$2,691.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,949.84 / $2,691.53	Facility		$223.87	$1,949.84	$2,691.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,659.59 / $2,691.53	Professional		$281.84	$1,659.59	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $512.86 / $3,090.30	Professional		$186.21	$512.86	$3,090.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $7,762.47	Professional		$2,818.38	$4,073.80	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,071.52 / $1,905.46	Facility		$141.25	$1,071.52	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $2,290.87	Professional		$758.58	$1,288.25	$2,290.87