Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $724.44	Facility		$524.81	$524.81	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $724.44	Professional		$380.19	$489.78	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $2,344.23	Facility		$1,096.48	$1,148.15	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,380.38	Professional		$501.19	$630.96	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $676.08 / $1,071.52	Facility		$446.68	$676.08	$1,071.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,202.26	Professional		$588.84	$812.83	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $588.84	Professional		$512.86	$512.86	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $933.25	Professional		$467.74	$660.69	$933.25
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 / $2,238.72	Professional		$1,096.48	$1,230.27	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $954.99	Facility		$371.54	$616.60	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $676.08	Professional		$338.84	$524.81	$676.08