Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $2,951.21	Facility		$1,202.26	$1,949.84	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,818.38	Professional		$1,202.26	$2,041.74	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $6,456.54	Professional		$1,737.80	$3,235.94	$6,456.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $2,454.71	Facility		$123.03	$245.47	$2,454.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $331.13 / $2,951.21	Professional		$158.49	$331.13	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,137.96 / $2,570.40	Facility		$223.87	$2,137.96	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,137.96	Professional		$1,479.11	$1,479.11	$2,137.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,137.96 / $2,570.40	Facility		$223.87	$2,137.96	$2,570.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,479.11 / $1,479.11	Professional		$213.80	$1,479.11	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,202.26 / $7,585.78	Professional		$436.52	$1,202.26	$7,585.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,754.40 / $10,715.19	Professional		$3,890.45	$5,754.40	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $295.12 / $2,951.21	Facility		$138.04	$295.12	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $512.86 / $2,884.03	Professional		$120.23	$512.86	$2,884.03