Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,819.70	Facility		$724.44	$1,122.02	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $954.99	Professional		$537.03	$616.60	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $1,230.27	Professional		$190.55	$302.00	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $870.96	Facility		$524.81	$524.81	$870.96
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 $489.78 / $870.96 / $1,096.48	Professional		$489.78	$870.96	$1,096.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $1,584.89	Facility		$489.78	$776.25	$1,584.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
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 $489.78 / $794.33 / $1,513.56	Professional		$489.78	$794.33	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $758.58	Facility		$275.42	$489.78	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $758.58	Professional		$316.23	$457.09	$758.58