Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $616.60	Facility		$218.78	$416.87	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $467.74	Professional		$181.97	$223.87	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $288.40 / $501.19	Facility		$251.19	$288.40	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $389.05	Professional		$109.65	$141.25	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Facility		$257.04	$257.04	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $933.25	Facility		$177.83	$177.83	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $489.78	Professional		$125.89	$204.17	$489.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $1,122.02	Facility		$181.97	$281.84	$1,122.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $489.78	Professional		$125.89	$162.18	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $338.84	Professional		$204.17	$245.47	$338.84
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $630.96	Professional		$234.42	$338.84	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $245.47 / $275.42	Facility		$100.00	$245.47	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $316.23	Professional		$114.82	$165.96	$316.23