Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $724.44	Facility		$549.54	$549.54	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $776.25	Professional		$407.38	$549.54	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $724.44 / $1,258.93	Facility		$630.96	$724.44	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $831.76	Professional		$77.62	$89.13	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $9,549.93 / $41,686.94	Facility		$630.96	$9,549.93	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $10,715.19 / $19,054.61	Professional		$831.76	$10,715.19	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $1,445.44	Facility		$446.68	$446.68	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $870.96	Professional		$549.54	$794.33	$870.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $2,818.38	Facility		$457.09	$707.95	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,348.96	Professional		$512.86	$724.44	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $616.60 / $676.08	Facility		$245.47	$616.60	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $776.25	Professional		$288.40	$407.38	$776.25