Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $457.09	Facility		$120.23	$186.21	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $275.42	Professional		$107.15	$128.82	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $489.78	Professional		$169.82	$309.03	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $120.23	Facility		$52.48	$67.61	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $74.13 / $9,332.54	Facility		$72.44	$74.13	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $691.83	Professional		$117.49	$213.80	$691.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $5,495.41 / $9,332.54	Facility		$181.97	$5,495.41	$9,332.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $691.83	Professional		$112.20	$186.21	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $54.95	Professional		$32.36	$33.11	$54.95
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $288.40	Professional		$123.03	$154.88	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $2,398.83 / $7,585.78	Facility		$58.88	$2,398.83	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $501.19	Professional		$114.82	$173.78	$501.19