Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $707.95 / $1,122.02	Facility		$630.96	$707.95	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $794.33	Professional		$407.38	$562.34	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $2,570.40	Facility		$1,202.26	$1,258.93	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,513.56	Professional		$549.54	$676.08	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $1,096.48	Facility		$457.09	$676.08	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,230.27	Professional		$588.84	$812.83	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $562.34	Professional		$416.87	$416.87	$562.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,318.26	Facility		$562.34	$562.34	$1,318.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $562.34	Professional		$416.87	$416.87	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,023.29	Professional		$512.86	$707.95	$1,023.29
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,454.71	Professional		$1,202.26	$1,348.96	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $478.63 / $1,047.13	Facility		$346.74	$478.63	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $741.31	Professional		$338.84	$524.81	$741.31