Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $912.01	Facility		$354.81	$562.34	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $436.52	Professional		$229.09	$309.03	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $398.11 / $691.83	Facility		$346.74	$398.11	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,412.54	Professional		$602.56	$912.01	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,248.07 / $41,686.94	Facility		$354.81	$5,248.07	$41,686.94
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 $302.00 / $436.52 / $489.78	Professional		$302.00	$436.52	$489.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $1,548.82	Facility		$257.04	$389.05	$1,548.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
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 $323.59 / $416.87 / $891.25	Professional		$323.59	$416.87	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $338.84 / $380.19	Facility		$138.04	$338.84	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $436.52	Professional		$158.49	$229.09	$436.52