Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $1,148.15	Facility		$416.87	$660.69	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $707.95	Professional		$416.87	$416.87	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $524.81	Professional		$165.96	$199.53	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $8,709.64	Facility		$389.05	$501.19	$8,709.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $7,762.47	Professional		$416.87	$562.34	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $549.54	Facility		$269.15	$269.15	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $537.03	Professional		$416.87	$478.63	$537.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $537.03 / $1,174.90	Facility		$245.47	$537.03	$1,174.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $524.81	Professional		$416.87	$416.87	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $512.86	Professional		$309.03	$371.54	$512.86
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $977.24	Professional		$354.81	$457.09	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $371.54 / $416.87	Facility		$151.36	$371.54	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $478.63	Professional		$158.49	$229.09	$478.63