Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $416.87 / $1,230.27	Facility		$281.84	$416.87	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $912.01	Professional		$251.19	$323.59	$912.01
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 $154.88 / $208.93 / $398.11	Professional		$154.88	$208.93	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $245.47 / $275.42	Facility		$27.54	$245.47	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $891.25	Facility		$263.03	$263.03	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $707.95	Professional		$190.55	$346.74	$707.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,698.24	Facility		$588.84	$1,071.52	$1,698.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $707.95	Professional		$229.09	$371.54	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$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 $295.12 / $426.58 / $630.96	Professional		$295.12	$426.58	$630.96
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 $169.82 / $323.59 / $616.60	Professional		$169.82	$323.59	$616.60