Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $977.24	Facility		$389.05	$602.56	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $489.78	Professional		$275.42	$338.84	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $436.52 / $758.58	Facility		$380.19	$436.52	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $537.03	Professional		$60.26	$79.43	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $5,754.40 / $41,686.94	Facility		$380.19	$5,754.40	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $6,456.54 / $11,220.18	Professional		$501.19	$6,456.54	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $1,548.82	Facility		$269.15	$269.15	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $524.81	Professional		$269.15	$478.63	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $1,698.24	Facility		$275.42	$426.58	$1,698.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $954.99	Professional		$346.74	$446.68	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $371.54 / $407.38	Facility		$147.91	$371.54	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $467.74	Professional		$173.78	$245.47	$467.74