Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $776.25	Facility		$302.00	$549.54	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $457.09	Professional		$245.47	$263.03	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $338.84 / $588.84	Facility		$295.12	$338.84	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $16.98 / $323.59	Professional		$5.89	$16.98	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $371.54	Facility		$223.87	$223.87	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $5,011.87 / $8,912.51	Professional		$398.11	$5,011.87	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $1,230.27	Facility		$208.93	$208.93	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $467.74	Professional		$208.93	$371.54	$467.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $1,230.27	Facility		$208.93	$331.13	$1,230.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $741.31	Professional		$208.93	$338.84	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $323.59	Facility		$117.49	$208.93	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $354.81	Professional		$134.90	$194.98	$354.81