Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,819.70	Facility		$724.44	$1,288.25	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $912.01	Professional		$457.09	$616.60	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,412.54	Facility		$691.83	$794.33	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $954.99	Professional		$199.53	$257.04	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $10,715.19 / $41,686.94	Facility		$707.95	$10,715.19	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $12,022.64 / $20,892.96	Professional		$933.25	$12,022.64	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,584.89	Facility		$489.78	$489.78	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $977.24	Professional		$446.68	$891.25	$977.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $954.99 / $4,365.16	Facility		$489.78	$954.99	$4,365.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,778.28	Professional		$645.65	$831.76	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $691.83 / $758.58	Facility		$275.42	$691.83	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $870.96	Professional		$316.23	$457.09	$870.96