Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $316.23 / $467.74	Facility		$165.96	$316.23	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $338.84	Professional		$138.04	$169.82	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $218.78 / $380.19	Facility		$190.55	$218.78	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $269.15	Professional		$83.18	$102.33	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $436.52	Facility		$134.90	$134.90	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $371.54	Professional		$95.50	$158.49	$371.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $213.80 / $851.14	Facility		$138.04	$213.80	$851.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $371.54	Professional		$95.50	$114.82	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $257.04	Professional		$60.26	$169.82	$257.04
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $478.63	Professional		$177.83	$257.04	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $186.21 / $208.93	Facility		$74.13	$186.21	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $239.88	Professional		$87.10	$123.03	$239.88