Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $851.14	Facility		$501.19	$501.19	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $851.14	Professional		$436.52	$537.03	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $2,238.72	Facility		$1,047.13	$1,096.48	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,348.96	Professional		$512.86	$616.60	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,230.27	Facility		$512.86	$776.25	$1,230.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,380.38	Professional		$660.69	$933.25	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $660.69	Professional		$478.63	$478.63	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $660.69	Professional		$478.63	$478.63	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $891.25	Professional		$446.68	$616.60	$891.25
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $2,137.96	Professional		$1,047.13	$1,174.90	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $1,174.90	Facility		$457.09	$758.58	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $776.25	Professional		$338.84	$512.86	$776.25