Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $645.65 / $1,096.48	Facility		$436.52	$645.65	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $691.83	Professional		$309.03	$380.19	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.02 / $478.63	Professional		$2.57	$3.02	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $524.81	Facility		$457.09	$457.09	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $7,244.36 / $12,589.25	Professional		$562.34	$7,244.36	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $977.24	Facility		$302.00	$302.00	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $660.69	Professional		$302.00	$524.81	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $977.24	Facility		$302.00	$478.63	$977.24
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
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $912.01	Professional		$302.00	$478.63	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $457.09	Facility		$165.96	$302.00	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $457.09	Professional		$194.98	$275.42	$457.09