Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $707.95 / $2,454.71	Facility		$436.52	$707.95	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $912.01	Professional		$30.20	$50.12	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $724.44	Professional		$446.68	$588.84	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $281.84	Facility		$63.10	$102.33	$281.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $323.59	Professional		$95.50	$107.15	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $741.31	Professional		$338.84	$501.19	$741.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $691.83	Professional		$323.59	$489.78	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $141.25	Professional		$52.48	$74.13	$141.25
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $354.81 / $741.31	Professional		$151.36	$354.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86