Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $562.34	Professional		$288.40	$371.54	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $41,686.94 / $63,095.73	Facility		$41,686.94	$41,686.94	$63,095.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $75,857.76	Professional		$75,857.76	$75,857.76	$75,857.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $707.95 / $954.99	Facility		$446.68	$707.95	$954.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
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 $724.44 / $724.44 / $2,238.72	Facility		$724.44	$724.44	$2,238.72