Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,778.28	Facility		$707.95	$1,047.13	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $724.44	Professional		$446.68	$602.56	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,513.56	Professional		$676.08	$851.14	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $10,232.93 / $41,686.94	Facility		$691.83	$10,232.93	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $11,748.98 / $20,417.38	Professional		$912.01	$11,748.98	$20,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,548.82	Facility		$478.63	$478.63	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $954.99	Professional		$588.84	$870.96	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $933.25 / $4,265.80	Facility		$478.63	$933.25	$4,265.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,737.80	Professional		$630.96	$812.83	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $660.69 / $741.31	Facility		$269.15	$660.69	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $851.14	Professional		$309.03	$446.68	$851.14