Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $208.93 / $676.08	Facility		$87.10	$208.93	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $204.17	Professional		$61.66	$83.18	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $169.82	Facility		$83.18	$97.72	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $120.23	Professional		$45.71	$54.95	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $128.82	Facility		$74.13	$104.71	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $123.03	Professional		$91.20	$91.20	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $588.84	Facility		$60.26	$60.26	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $218.78	Professional		$46.77	$83.18	$218.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $588.84	Facility		$74.13	$104.71	$588.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $263.03	Professional		$46.77	$70.79	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $112.20	Professional		$69.18	$83.18	$112.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $213.80	Professional		$77.62	$100.00	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $83.18 / $91.20	Facility		$33.11	$83.18	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $125.89	Professional		$38.90	$54.95	$125.89