Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $912.01	Facility		$363.08	$562.34	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $478.63	Professional		$263.03	$309.03	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $426.58	Professional		$74.13	$112.20	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $6,025.60 / $10,471.29	Professional		$467.74	$6,025.60	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $794.33	Facility		$245.47	$245.47	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $549.54	Professional		$245.47	$436.52	$549.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $794.33	Facility		$245.47	$389.05	$794.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $758.58	Professional		$245.47	$398.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $380.19	Facility		$138.04	$245.47	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $380.19	Professional		$158.49	$229.09	$380.19