Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,238.72	Professional		$1,174.90	$1,621.81	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,073.80	Professional		$1,412.54	$2,089.30	$4,073.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $281.84 / $3,019.95	Facility		$141.25	$281.84	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $3,019.95	Professional		$181.97	$251.19	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,412.54 / $2,041.74	Facility		$213.80	$1,412.54	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,202.26 / $2,818.38	Professional		$213.80	$1,202.26	$2,818.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,412.54 / $2,818.38	Facility		$213.80	$1,412.54	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,202.26 / $1,412.54	Professional		$208.93	$1,202.26	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,311.31	Professional		$1,348.96	$2,089.30	$3,311.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $2,884.03 / $4,786.30	Professional		$363.08	$2,884.03	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,174.90 / $1,862.09	Facility		$147.91	$1,174.90	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,187.76	Professional		$933.25	$1,412.54	$2,187.76