Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,819.70	Professional		$1,148.15	$1,412.54	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,398.83	Professional		$1,000.00	$1,513.56	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $2,818.38	Facility		$114.82	$229.09	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $2,818.38	Professional		$151.36	$208.93	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $2,290.87	Facility		$169.82	$1,071.52	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $912.01 / $2,290.87	Professional		$169.82	$912.01	$2,290.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $2,290.87	Facility		$169.82	$1,071.52	$2,290.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $912.01 / $1,071.52	Professional		$147.91	$912.01	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $302.00 / $2,041.74	Professional		$123.03	$302.00	$2,041.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,981.07	Professional		$1,995.26	$2,344.23	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $794.33 / $1,479.11	Facility		$95.50	$794.33	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,479.11	Professional		$630.96	$954.99	$1,479.11