Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $537.03	Facility		$144.54	$208.93	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $323.59	Professional		$125.89	$147.91	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $537.03	Professional		$190.55	$346.74	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $91.20 / $141.25	Facility		$52.48	$91.20	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $512.86 / $5,128.61	Facility		$97.72	$512.86	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $575.44	Professional		$138.04	$229.09	$575.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,981.07 / $7,079.46	Facility		$223.87	$3,981.07	$7,079.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $630.96	Professional		$131.83	$218.78	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $331.13	Professional		$147.91	$181.97	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $2,398.83 / $7,585.78	Facility		$58.88	$2,398.83	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $512.86	Professional		$134.90	$194.98	$512.86