Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.49 / $257.04	Facility		$100.00	$158.49	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $128.82	Professional		$64.57	$87.10	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $173.78	Professional		$81.28	$107.15	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,479.11 / $41,686.94	Facility		$100.00	$1,479.11	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,698.24 / $2,951.21	Professional		$131.83	$1,698.24	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $223.87	Facility		$69.18	$69.18	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $138.04	Professional		$63.10	$123.03	$138.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $134.90 / $616.60	Facility		$69.18	$134.90	$616.60
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 $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $245.47	Professional		$91.20	$117.49	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $95.50 / $107.15	Facility		$38.90	$95.50	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $123.03	Professional		$44.67	$64.57	$123.03