Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $194.98 / $275.42	Facility		$107.15	$194.98	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $138.04	Professional		$67.61	$93.33	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $208.93	Facility		$104.71	$120.23	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $380.19	Professional		$109.65	$213.80	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,584.89 / $41,686.94	Facility		$107.15	$1,584.89	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,778.28 / $3,162.28	Professional		$141.25	$1,778.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $389.05	Facility		$74.13	$74.13	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $147.91	Professional		$67.61	$131.83	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $467.74	Facility		$75.86	$117.49	$467.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $263.03	Professional		$97.72	$125.89	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $102.33 / $114.82	Facility		$40.74	$102.33	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $131.83	Professional		$47.86	$69.18	$131.83