Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $588.84	Facility		$77.62	$112.20	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $169.82	Professional		$66.07	$81.28	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $630.96	Facility		$537.03	$616.60	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $169.82	Professional		$81.28	$104.71	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $75.86	Facility		$25.12	$50.12	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $831.76	Facility		$53.70	$57.54	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $186.21	Professional		$69.18	$109.65	$186.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $457.09 / $724.44	Facility		$123.03	$457.09	$724.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $190.55	Professional		$66.07	$104.71	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $173.78	Professional		$77.62	$97.72	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $181.97 / $575.44	Facility		$28.18	$181.97	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $151.36	Professional		$64.57	$91.20	$151.36