Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $467.74 / $741.31	Facility		$263.03	$467.74	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $269.15 / $416.87	Professional		$100.00	$269.15	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $346.74 / $602.56	Facility		$302.00	$346.74	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $416.87	Professional		$131.83	$151.36	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $1,122.02	Facility		$213.80	$213.80	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $245.47 / $588.84	Professional		$85.11	$245.47	$588.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $338.84 / $1,122.02	Facility		$245.47	$338.84	$1,122.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $660.69	Professional		$85.11	$173.78	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $407.38	Professional		$245.47	$295.12	$407.38
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $776.25	Professional		$281.84	$363.08	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $295.12 / $331.13	Facility		$102.33	$295.12	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $380.19	Professional		$77.62	$181.97	$380.19