Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $229.09 / $407.38	Facility		$128.82	$229.09	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $204.17	Professional		$75.86	$131.83	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $295.12	Facility		$147.91	$169.82	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $186.21	Professional		$64.57	$79.43	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $186.21	Facility		$95.50	$95.50	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $549.54	Facility		$104.71	$104.71	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $213.80	Professional		$42.66	$74.13	$213.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $165.96 / $549.54	Facility		$79.43	$165.96	$549.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $104.71	Professional		$42.66	$74.13	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $199.53	Professional		$109.65	$134.90	$199.53
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $371.54	Professional		$104.71	$169.82	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $162.18	Facility		$54.95	$81.28	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $162.18	Professional		$42.66	$67.61	$162.18