Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,621.81	Facility		$1,047.13	$1,148.15	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,548.82	Professional		$602.56	$1,047.13	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,995.26	Professional		$831.76	$1,000.00	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $234.42 / $3,162.28	Facility		$97.72	$234.42	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $2,344.23	Professional		$125.89	$263.03	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $316.23 / $2,041.74	Professional		$117.49	$316.23	$2,041.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $4,073.80	Professional		$1,995.26	$2,238.72	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $1,096.48	Facility		$77.62	$131.83	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $851.14	Professional		$64.57	$97.72	$851.14