Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $645.65 / $1,122.02	Facility		$436.52	$645.65	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Professional		$316.23	$371.54	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.02 / $467.74	Professional		$2.57	$3.02	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $537.03	Facility		$467.74	$467.74	$537.03
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 / $977.24	Facility		$302.00	$302.00	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $660.69	Professional		$302.00	$537.03	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $977.24	Facility		$302.00	$478.63	$977.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
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 $302.00 / $489.78 / $933.25	Professional		$302.00	$489.78	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $467.74	Facility		$165.96	$302.00	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $467.74	Professional		$194.98	$275.42	$467.74