Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,071.52	Professional		$676.08	$776.25	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,698.24	Professional		$588.84	$741.31	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $138.04 / $954.99	Facility		$69.18	$138.04	$954.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $1,148.15	Professional		$89.13	$123.03	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $398.11	Facility		$363.08	$363.08	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $389.05	Professional		$309.03	$309.03	$389.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $398.11	Facility		$363.08	$363.08	$398.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $309.03 / $363.08	Professional		$102.33	$309.03	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $181.97 / $1,230.27	Professional		$74.13	$181.97	$1,230.27
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,344.23	Professional		$1,174.90	$1,412.54	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $407.38 / $776.25	Facility		$57.54	$407.38	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $776.25	Professional		$354.81	$524.81	$776.25