Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $758.58 / $1,122.02	Facility		$436.52	$758.58	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $537.03	Professional		$281.84	$380.19	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $489.78 / $851.14	Facility		$426.58	$489.78	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $691.83 / $1,258.93	Professional		$281.84	$691.83	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $6,456.54 / $41,686.94	Facility		$436.52	$6,456.54	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $7,244.36 / $12,882.50	Professional		$575.44	$7,244.36	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,584.89	Facility		$302.00	$302.00	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $588.84	Professional		$275.42	$537.03	$588.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $478.63 / $1,905.46	Facility		$309.03	$478.63	$1,905.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $1,071.52	Professional		$398.11	$512.86	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $416.87 / $467.74	Facility		$165.96	$416.87	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $537.03	Professional		$194.98	$281.84	$537.03