Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $1,071.52	Facility		$426.58	$660.69	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $512.86	Professional		$269.15	$371.54	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $478.63 / $831.76	Facility		$416.87	$478.63	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $588.84	Professional		$144.54	$181.97	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $6,309.57 / $41,686.94	Facility		$416.87	$6,309.57	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $7,079.46 / $12,589.25	Professional		$549.54	$7,079.46	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $954.99	Facility		$295.12	$295.12	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $575.44	Professional		$363.08	$524.81	$575.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $1,862.09	Facility		$302.00	$467.74	$1,862.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $1,047.13	Professional		$380.19	$501.19	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $407.38 / $446.68	Facility		$162.18	$407.38	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $512.86	Professional		$190.55	$269.15	$512.86