Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $602.56	Facility		$234.42	$346.74	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $251.19	Professional		$147.91	$199.53	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $251.19 / $512.86	Professional		$66.07	$251.19	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,467.37 / $41,686.94	Facility		$229.09	$3,467.37	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $3,890.45 / $6,918.31	Professional		$309.03	$3,890.45	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $524.81	Facility		$162.18	$162.18	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $316.23	Professional		$199.53	$288.40	$316.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $257.04 / $1,023.29	Facility		$165.96	$257.04	$1,023.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $575.44	Professional		$208.93	$275.42	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $223.87 / $251.19	Facility		$89.13	$223.87	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $288.40	Professional		$104.71	$147.91	$288.40