Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $588.84 / $1,949.84	Facility		$44.67	$588.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $870.96	Professional		$436.52	$575.44	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $2,398.83	Facility		$1,096.48	$1,174.90	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,412.54	Professional		$524.81	$660.69	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,318.26	Facility		$549.54	$812.83	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,479.11	Professional		$707.95	$977.24	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $602.56	Professional		$446.68	$446.68	$602.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,479.11	Facility		$602.56	$602.56	$1,479.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $602.56	Professional		$446.68	$446.68	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,348.96	Professional		$588.84	$933.25	$1,348.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $2,290.87	Professional		$1,096.48	$1,230.27	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $1,122.02	Facility		$371.54	$524.81	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $724.44	Professional		$323.59	$489.78	$724.44