Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $5,128.61	Facility		$2,398.83	$2,570.40	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,096.48	Professional		$912.01	$1,071.52	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,137.96	Facility		$891.25	$1,318.26	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,398.83	Professional		$1,148.15	$1,584.89	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,467.37	Professional		$2,754.23	$2,754.23	$3,467.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,174.90	Professional		$1,122.02	$1,122.02	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,089.30	Professional		$1,023.29	$1,445.44	$2,089.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $5,011.87	Professional		$2,398.83	$2,691.53	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,041.74	Facility		$794.33	$1,348.96	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,479.11	Professional		$691.83	$1,148.15	$1,479.11