Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $275.42 / $416.87	Facility		$147.91	$275.42	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $891.25	Professional		$147.91	$158.49	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $194.98 / $338.84	Facility		$169.82	$194.98	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $501.19	Professional		$74.13	$95.50	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $630.96	Facility		$120.23	$120.23	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $416.87	Professional		$85.11	$165.96	$416.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $758.58	Facility		$165.96	$190.55	$758.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $512.86	Professional		$85.11	$100.00	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $229.09	Professional		$138.04	$165.96	$229.09
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $426.58	Professional		$158.49	$204.17	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $165.96 / $186.21	Facility		$66.07	$165.96	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $213.80	Professional		$77.62	$112.20	$213.80