Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,513.56	Facility		$870.96	$1,258.93	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,348.96	Professional		$724.44	$870.96	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $3,548.13	Facility		$1,659.59	$1,737.80	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $2,137.96	Professional		$794.33	$933.25	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,949.84	Facility		$812.83	$1,202.26	$1,949.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,187.76	Professional		$1,047.13	$1,445.44	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,000.00	Professional		$741.31	$741.31	$1,000.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,344.23	Facility		$1,000.00	$1,000.00	$2,344.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,000.00	Professional		$741.31	$741.31	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,412.54	Professional		$707.95	$977.24	$1,412.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $3,388.44	Professional		$1,659.59	$1,819.70	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $1,862.09	Facility		$676.08	$870.96	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,202.26	Professional		$537.03	$812.83	$1,202.26