Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $645.65	Facility		$112.20	$165.96	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $323.59	Professional		$97.72	$123.03	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $676.08 / $691.83	Facility		$588.84	$676.08	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $281.84	Professional		$151.36	$199.53	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $75.86 / $112.20	Facility		$35.48	$75.86	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $134.90	Facility		$38.90	$38.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $309.03	Professional		$112.20	$204.17	$309.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $562.34 / $870.96	Facility		$83.18	$562.34	$870.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $331.13	Professional		$109.65	$162.18	$331.13
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 $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $263.03	Professional		$117.49	$147.91	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $562.34	Facility		$169.82	$169.82	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $234.42	Professional		$109.65	$144.54	$234.42