Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $660.69 / $1,096.48	Facility		$346.74	$660.69	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $660.69	Professional		$346.74	$389.05	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $794.33	Facility		$398.11	$457.09	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $549.54	Professional		$173.78	$199.53	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,479.11	Facility		$281.84	$281.84	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $870.96	Professional		$199.53	$380.19	$870.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $446.68 / $1,479.11	Facility		$281.84	$446.68	$1,479.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $977.24	Professional		$199.53	$229.09	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $537.03	Professional		$323.59	$389.05	$537.03
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,000.00	Professional		$371.54	$478.63	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $389.05 / $436.52	Facility		$154.88	$389.05	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $501.19	Professional		$181.97	$263.03	$501.19