Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $173.78 / $199.53	Facility		$89.13	$173.78	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $107.15	Professional		$63.10	$89.13	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $102.33	Professional		$50.12	$60.26	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,584.89 / $2,818.38	Professional		$123.03	$1,584.89	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $316.23	Facility		$97.72	$97.72	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $154.88	Professional		$70.79	$95.50	$154.88