Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $1,023.29	Facility		$407.38	$630.96	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $512.86	Professional		$257.04	$346.74	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $512.86	Professional		$11.48	$15.14	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $5,888.44 / $41,686.94	Facility		$398.11	$5,888.44	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $6,760.83 / $11,748.98	Professional		$524.81	$6,760.83	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,445.44	Facility		$275.42	$275.42	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $549.54	Professional		$251.19	$501.19	$549.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $436.52 / $1,737.80	Facility		$288.40	$436.52	$1,737.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,000.00	Professional		$363.08	$467.74	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $380.19 / $426.58	Facility		$154.88	$380.19	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $489.78	Professional		$177.83	$257.04	$489.78