Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $281.84 / $478.63	Facility		$165.96	$281.84	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $199.53	Professional		$100.00	$141.25	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $363.08	Facility		$181.97	$208.93	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $229.09 / $389.05	Professional		$85.11	$229.09	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,754.23 / $41,686.94	Facility		$186.21	$2,754.23	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $3,090.30 / $5,495.41	Professional		$245.47	$3,090.30	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $562.34	Facility		$128.82	$128.82	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $251.19	Professional		$97.72	$229.09	$251.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $154.88 / $616.60	Facility		$128.82	$154.88	$616.60
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 $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $426.58	Professional		$169.82	$218.78	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $177.83 / $199.53	Facility		$70.79	$177.83	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $218.78	Professional		$63.10	$89.13	$218.78