Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,258.93	Facility		$501.19	$776.25	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $660.69	Professional		$354.81	$426.58	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $562.34	Professional		$69.18	$85.11	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $8,317.64 / $14,454.40	Professional		$645.65	$8,317.64	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,096.48	Facility		$338.84	$338.84	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $758.58	Professional		$338.84	$602.56	$758.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,096.48	Facility		$338.84	$537.03	$1,096.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,047.13	Professional		$338.84	$549.54	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $524.81	Facility		$190.55	$338.84	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $524.81	Professional		$218.78	$316.23	$524.81