Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $234.42 / $302.00	Facility		$114.82	$234.42	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $190.55	Professional		$85.11	$102.33	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $128.82 / $223.87	Facility		$112.20	$128.82	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $812.83 / $1,380.38	Professional		$169.82	$812.83	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,698.24 / $41,686.94	Facility		$112.20	$1,698.24	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,905.46 / $3,388.44	Professional		$151.36	$1,905.46	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $512.86	Facility		$79.43	$79.43	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $154.88	Professional		$87.10	$141.25	$154.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $512.86	Facility		$81.28	$125.89	$512.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $281.84	Professional		$104.71	$134.90	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $123.03	Facility		$43.65	$109.65	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $151.36	Professional		$51.29	$72.44	$151.36