Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $186.21 / $309.03	Facility		$97.72	$186.21	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $199.53	Professional		$89.13	$100.00	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $128.82 / $223.87	Facility		$112.20	$128.82	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $177.83	Professional		$60.26	$77.62	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $467.74	Facility		$79.43	$79.43	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $263.03	Professional		$61.66	$112.20	$263.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $501.19	Facility		$81.28	$125.89	$501.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $245.47	Professional		$61.66	$109.65	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $151.36	Professional		$91.20	$109.65	$151.36
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $281.84	Professional		$104.71	$151.36	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $123.03	Facility		$43.65	$109.65	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $151.36	Professional		$51.29	$74.13	$151.36