Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $354.81 / $588.84	Facility		$208.93	$354.81	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $257.04	Professional		$144.54	$181.97	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $457.09	Facility		$229.09	$263.03	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $213.80 / $346.74	Professional		$45.71	$213.80	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $281.84	Facility		$131.83	$131.83	$281.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $3,890.45 / $6,760.83	Professional		$302.00	$3,890.45	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $707.95	Facility		$128.82	$162.18	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $354.81	Professional		$162.18	$281.84	$354.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $707.95	Facility		$128.82	$199.53	$707.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $524.81	Professional		$162.18	$257.04	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $131.83 / $245.47	Facility		$89.13	$131.83	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $245.47	Professional		$81.28	$117.49	$245.47