Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $117.49 / $190.55	Facility		$74.13	$117.49	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $93.33	Professional		$46.77	$64.57	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $97.72	Professional		$31.62	$41.69	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $1,096.48 / $41,686.94	Facility		$74.13	$1,096.48	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $1,230.27 / $2,187.76	Professional		$97.72	$1,230.27	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $165.96	Facility		$51.29	$51.29	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $91.20	Professional		$63.10	$83.18	$91.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $100.00 / $457.09	Facility		$51.29	$100.00	$457.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $181.97	Professional		$67.61	$87.10	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $91.20	Professional		$33.11	$47.86	$91.20