Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $870.96	Professional		$562.34	$645.65	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,174.90	Professional		$436.52	$616.60	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $100.00 / $1,000.00	Facility		$48.98	$100.00	$1,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $1,202.26	Professional		$64.57	$89.13	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $257.04	Facility		$134.90	$134.90	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $1,230.27	Professional		$114.82	$114.82	$1,230.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $257.04	Facility		$134.90	$134.90	$257.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $134.90	Professional		$79.43	$114.82	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $151.36 / $1,023.29	Professional		$61.66	$151.36	$1,023.29
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,949.84	Professional		$977.24	$1,174.90	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $338.84 / $645.65	Facility		$47.86	$338.84	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $645.65	Professional		$295.12	$436.52	$645.65