Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $1,288.25	Facility		$436.52	$794.33	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $323.59	Professional		$151.36	$218.78	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $47.86 / $223.87	Professional		$0.02	$47.86	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,162.28 / $41,686.94	Facility		$213.80	$3,162.28	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $3,630.78 / $6,309.57	Professional		$281.84	$3,630.78	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $354.81	Facility		$87.10	$87.10	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,071.52	Professional		$354.81	$512.86	$1,071.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $346.74 / $1,288.25	Facility		$87.10	$346.74	$1,288.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,071.52 / $1,071.52	Professional		$512.86	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
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 $66.07 / $173.78 / $213.80	Facility		$66.07	$173.78	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $416.87	Professional		$177.83	$229.09	$416.87