Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $257.04 / $363.08	Facility		$141.25	$257.04	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $181.97	Professional		$89.13	$123.03	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $151.36 / $309.03	Professional		$31.62	$151.36	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,089.30 / $41,686.94	Facility		$138.04	$2,089.30	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $2,344.23 / $4,168.69	Professional		$186.21	$2,344.23	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $512.86	Facility		$97.72	$97.72	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $173.78	Professional		$87.10	$158.49	$173.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $616.60	Facility		$100.00	$154.88	$616.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $346.74	Professional		$128.82	$165.96	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $173.78	Professional		$63.10	$89.13	$173.78