Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $407.38 / $467.74	Facility		$190.55	$407.38	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $549.54 / $1,047.13	Professional		$154.88	$549.54	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $416.87	Professional		$169.82	$223.87	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,290.87 / $41,686.94	Facility		$154.88	$2,290.87	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,570.40 / $4,570.88	Professional		$204.17	$2,570.40	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $21,379.62	Facility		$257.04	$257.04	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $776.25	Professional		$123.03	$154.88	$776.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $21,379.62	Facility		$257.04	$257.04	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $776.25	Professional		$123.03	$154.88	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,023.29 / $1,819.70	Professional		$302.00	$1,023.29	$1,819.70