Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $275.42	Facility		$95.50	$162.18	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $120.23	Professional		$66.07	$81.28	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $208.93	Facility		$104.71	$120.23	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $144.54	Professional		$45.71	$79.43	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $131.83	Facility		$58.88	$58.88	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,778.28 / $3,162.28	Professional		$141.25	$1,778.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $74.13 / $323.59	Facility		$57.54	$74.13	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $165.96	Professional		$74.13	$131.83	$165.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $89.13 / $323.59	Facility		$57.54	$89.13	$323.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $229.09	Professional		$74.13	$120.23	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $114.82	Facility		$40.74	$58.88	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $114.82	Professional		$36.31	$51.29	$114.82