Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,019.95 / $10,715.19	Facility		$331.13	$3,019.95	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $616.60	Professional		$173.78	$302.00	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,995.26 / $3,981.07	Facility		$776.25	$1,995.26	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $407.38	Professional		$154.88	$218.78	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $223.87	Facility		$154.88	$181.97	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $213.80	Professional		$190.55	$190.55	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $489.78 / $1,659.59	Facility		$186.21	$489.78	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $575.44	Professional		$186.21	$302.00	$575.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $891.25	Facility		$186.21	$309.03	$891.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $524.81	Professional		$186.21	$302.00	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $288.40	Facility		$100.00	$100.00	$288.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $758.58	Professional		$223.87	$416.87	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $851.14 / $2,818.38	Facility		$134.90	$851.14	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $457.09	Professional		$162.18	$257.04	$457.09