Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $758.58	Professional		$478.63	$562.34	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,778.28	Professional		$602.56	$724.44	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $134.90 / $562.34	Facility		$74.13	$134.90	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $1,023.29	Professional		$63.10	$97.72	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $676.08	Facility		$457.09	$457.09	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $954.99	Professional		$389.05	$389.05	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $954.99	Facility		$457.09	$457.09	$954.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $457.09	Professional		$389.05	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $912.01	Professional		$371.54	$616.60	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,659.59	Professional		$851.14	$1,000.00	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $467.74 / $794.33	Facility		$63.10	$467.74	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $1,000.00	Professional		$316.23	$588.84	$1,000.00