Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $549.54 / $977.24	Facility		$323.59	$549.54	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $323.59 / $398.11	Professional		$114.82	$323.59	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $512.86	Professional		$66.07	$102.33	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $5,623.41 / $41,686.94	Facility		$380.19	$5,623.41	$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 $263.03 / $263.03 / $851.14	Facility		$263.03	$263.03	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $467.74 / $524.81	Professional		$97.72	$467.74	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $954.99	Facility		$275.42	$416.87	$954.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
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 / $426.58 / $812.83	Professional		$346.74	$426.58	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $363.08 / $407.38	Facility		$147.91	$363.08	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $380.19	Professional		$69.18	$100.00	$380.19