Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $758.58 / $1,230.27	Facility		$478.63	$758.58	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $776.25	Professional		$354.81	$416.87	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $549.54	Professional		$69.18	$85.11	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $7,943.28 / $14,125.38	Professional		$630.96	$7,943.28	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $1,071.52	Facility		$331.13	$331.13	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $724.44	Professional		$331.13	$588.84	$724.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $1,071.52	Facility		$331.13	$524.81	$1,071.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,023.29	Professional		$331.13	$537.03	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $331.13 / $512.86	Facility		$181.97	$331.13	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $512.86	Professional		$213.80	$309.03	$512.86