Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $41,686.94 / $63,095.73	Facility		$190.55	$41,686.94	$63,095.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $75,857.76	Professional		$190.55	$190.55	$75,857.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $181.97	Professional		$165.96	$165.96	$181.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $309.03 / $562.34	Facility		$141.25	$309.03	$562.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $20.89 / $52.48	Professional		$5.37	$20.89	$52.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $144.54	Professional		$66.07	$93.33	$144.54