Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $154.88 / $588.84	Facility		$107.15	$154.88	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $208.93	Professional		$81.28	$107.15	$208.93
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 $79.43 / $104.71 / $173.78	Professional		$79.43	$104.71	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $85.11 / $102.33	Facility		$17.38	$85.11	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $831.76	Facility		$91.20	$97.72	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $229.09	Professional		$87.10	$125.89	$229.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $457.09 / $724.44	Facility		$169.82	$457.09	$724.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $229.09	Professional		$85.11	$125.89	$229.09
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 $107.15 / $131.83 / $239.88	Professional		$107.15	$131.83	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $181.97 / $575.44	Facility		$19.95	$181.97	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $186.21	Professional		$79.43	$109.65	$186.21