Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $229.09 / $371.54	Facility		$120.23	$229.09	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $234.42	Professional		$100.00	$123.03	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $158.49 / $275.42	Facility		$138.04	$158.49	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $194.98	Professional		$60.26	$77.62	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $512.86	Facility		$97.72	$97.72	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $302.00	Professional		$69.18	$131.83	$302.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $154.88 / $512.86	Facility		$134.90	$154.88	$512.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $338.84	Professional		$67.61	$77.62	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $186.21	Professional		$112.20	$134.90	$186.21
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $346.74	Professional		$128.82	$165.96	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $134.90 / $151.36	Facility		$53.70	$134.90	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $173.78	Professional		$63.10	$89.13	$173.78