Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $1,445.44	Facility		$512.86	$831.76	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $478.63 / $645.65	Professional		$208.93	$478.63	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $630.96 / $1,096.48	Facility		$549.54	$630.96	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $776.25	Professional		$144.54	$181.97	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $8,317.64 / $41,686.94	Facility		$562.34	$8,317.64	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $9,332.54 / $16,595.87	Professional		$741.31	$9,332.54	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,258.93	Facility		$389.05	$389.05	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $691.83 / $758.58	Professional		$239.88	$691.83	$758.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $616.60 / $1,258.93	Facility		$389.05	$616.60	$1,258.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,380.38	Professional		$512.86	$660.69	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $537.03 / $602.56	Facility		$213.80	$537.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $602.56	Professional		$125.89	$181.97	$602.56