Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $295.12 / $588.84	Facility		$144.54	$295.12	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $288.40	Professional		$97.72	$144.54	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $186.21 / $323.59	Facility		$162.18	$186.21	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $229.09	Professional		$70.79	$85.11	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $245.47	Facility		$141.25	$199.53	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $234.42	Professional		$173.78	$208.93	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $1,023.29	Facility		$114.82	$114.82	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $346.74	Professional		$79.43	$158.49	$346.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $199.53 / $1,023.29	Facility		$154.88	$199.53	$1,023.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $389.05	Professional		$79.43	$100.00	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $218.78	Professional		$131.83	$158.49	$218.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $407.38	Professional		$147.91	$194.98	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $158.49 / $173.78	Facility		$63.10	$158.49	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $199.53	Professional		$74.13	$104.71	$199.53