Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $1,230.27	Facility		$707.95	$954.99	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,000.00	Professional		$524.81	$660.69	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $2,818.38	Facility		$1,318.26	$1,412.54	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,698.24	Professional		$630.96	$758.58	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,380.38	Facility		$575.44	$851.14	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,548.82	Professional		$741.31	$1,023.29	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Professional		$524.81	$524.81	$707.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,621.81	Facility		$707.95	$707.95	$1,621.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Professional		$524.81	$524.81	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,148.15	Professional		$562.34	$794.33	$1,148.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $2,754.23	Professional		$1,318.26	$1,479.11	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $1,318.26	Facility		$478.63	$630.96	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $891.25	Professional		$436.52	$616.60	$891.25