Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $933.25	Facility		$371.54	$575.44	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $467.74	Professional		$263.03	$323.59	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $436.52	Professional		$204.17	$234.42	$436.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $446.68	Facility		$389.05	$389.05	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $6,165.95 / $10,715.19	Professional		$478.63	$6,165.95	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $831.76	Facility		$251.19	$251.19	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $562.34	Professional		$251.19	$446.68	$562.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $398.11 / $831.76	Facility		$251.19	$398.11	$831.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
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 Professional Modifier Low / Median / High Price $251.19 / $407.38 / $776.25	Professional		$251.19	$407.38	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $354.81	Facility		$138.04	$194.98	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $389.05	Professional		$165.96	$234.42	$389.05