Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $851.14	Facility		$288.40	$478.63	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $288.40 / $426.58	Professional		$3.98	$288.40	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.13 / $389.05	Professional		$4.27	$5.13	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $5,623.41 / $10,000.00	Professional		$436.52	$5,623.41	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $758.58	Facility		$234.42	$234.42	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $512.86	Professional		$234.42	$407.38	$512.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $371.54 / $758.58	Facility		$234.42	$371.54	$758.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $707.95	Professional		$234.42	$371.54	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $354.81	Facility		$128.82	$234.42	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $354.81	Professional		$151.36	$213.80	$354.81