Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $125.89 / $1,230.27	Facility		$70.79	$125.89	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $239.88	Professional		$67.61	$87.10	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,348.96	Facility		$1,148.15	$1,318.26	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $194.98	Professional		$95.50	$123.03	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $72.44 / $87.10	Facility		$14.13	$72.44	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $245.47	Facility		$77.62	$77.62	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $199.53	Professional		$70.79	$128.82	$199.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,071.52 / $1,698.24	Facility		$131.83	$1,071.52	$1,698.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $199.53	Professional		$70.79	$128.82	$199.53
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 $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $190.55	Professional		$100.00	$134.90	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,288.25	Facility		$407.38	$407.38	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $151.36	Professional		$69.18	$95.50	$151.36