Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,737.80	Facility		$575.44	$1,000.00	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $691.83	Professional		$295.12	$575.44	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $501.19 / $977.24	Professional		$229.09	$501.19	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $10,000.00 / $41,686.94	Facility		$676.08	$10,000.00	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $11,220.18 / $19,952.62	Professional		$891.25	$11,220.18	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,513.56	Facility		$467.74	$467.74	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $831.76 / $912.01	Professional		$416.87	$831.76	$912.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $912.01 / $4,168.69	Facility		$467.74	$912.01	$4,168.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,659.59	Professional		$616.60	$794.33	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $645.65 / $724.44	Facility		$257.04	$645.65	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $831.76	Professional		$302.00	$436.52	$831.76