Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $891.25 / $1,445.44	Facility		$467.74	$891.25	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $1,174.90	Professional		$436.52	$549.54	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $1,071.52	Facility		$537.03	$616.60	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $741.31	Professional		$288.40	$363.08	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $660.69	Facility		$389.05	$389.05	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $2,187.76	Facility		$380.19	$380.19	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $831.76	Professional		$295.12	$354.81	$831.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $2,187.76	Facility		$380.19	$602.56	$2,187.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $794.33	Professional		$295.12	$354.81	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $724.44	Professional		$389.05	$478.63	$724.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,348.96	Professional		$380.19	$602.56	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $398.11 / $575.44	Facility		$208.93	$398.11	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $691.83	Professional		$245.47	$346.74	$691.83