Exhibit 23

Consent of Independent Registered Public Accounting Firm

We consent to the incorporation by reference in the Registration Statements (Nos. 333-99291, 333-198939 and 333-198941) on Form S-8, in the Registration Statement (No. 333-170145) on Form S-8 POS, in the Registration Statement (No. 333-166662) on Form S-3/A, and in the Registration Statement (No. 333-199598) on Form S-3 of Summit Financial Group, Inc. and subsidiaries of our reports, dated March 2, 2015, relating to our audits of the consolidated financial statements and internal control over financial reporting, included in the Annual Report on Form 10-K of Summit Financial Group, Inc. and subsidiaries for the year ended December 31, 2014.

	/s/ Arnett Carbis Toothman LLP
Charleston, West Virginia
March 2, 2015