Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $295.12 / $446.68	Facility		$158.49	$295.12	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $426.58	Professional		$158.49	$181.97	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $371.54	Facility		$181.97	$208.93	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $316.23	Professional		$79.43	$102.33	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $741.31	Facility		$128.82	$128.82	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $398.11	Professional		$91.20	$181.97	$398.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $229.09 / $741.31	Facility		$177.83	$229.09	$741.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $446.68	Professional		$91.20	$107.15	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $245.47	Professional		$151.36	$181.97	$245.47
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $467.74	Professional		$169.82	$218.78	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $181.97 / $199.53	Facility		$72.44	$181.97	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $229.09	Professional		$83.18	$120.23	$229.09