Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $645.65 / $1,288.25	Facility		$25.70	$645.65	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $645.65	Professional		$363.08	$446.68	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $602.56	Professional		$50.12	$58.88	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $616.60	Facility		$371.54	$371.54	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $8,511.38 / $15,135.61	Professional		$660.69	$8,511.38	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $1,148.15	Facility		$354.81	$354.81	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $776.25	Professional		$354.81	$616.60	$776.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $1,148.15	Facility		$354.81	$562.34	$1,148.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,071.52	Professional		$354.81	$562.34	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $537.03	Facility		$194.98	$354.81	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $537.03	Professional		$229.09	$323.59	$537.03