Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $186.21 / $323.59	Facility		$125.89	$186.21	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $158.49	Professional		$79.43	$109.65	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $691.83 / $1,202.26	Professional		$186.21	$691.83	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,862.09 / $41,686.94	Facility		$125.89	$1,862.09	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $2,089.30 / $3,715.35	Professional		$165.96	$2,089.30	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $281.84	Facility		$87.10	$87.10	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $169.82	Professional		$107.15	$154.88	$169.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $169.82 / $776.25	Facility		$87.10	$169.82	$776.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $309.03	Professional		$114.82	$147.91	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $120.23 / $134.90	Facility		$47.86	$120.23	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $154.88	Professional		$56.23	$81.28	$154.88