Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $416.87	Facility		$147.91	$281.84	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $309.03	Professional		$123.03	$151.36	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $194.98 / $338.84	Facility		$169.82	$194.98	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $257.04	Professional		$74.13	$95.50	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $630.96	Facility		$120.23	$120.23	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $331.13	Professional		$85.11	$138.04	$331.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $758.58	Facility		$123.03	$190.55	$758.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $331.13	Professional		$85.11	$107.15	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $229.09	Professional		$138.04	$165.96	$229.09
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $426.58	Professional		$158.49	$229.09	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $165.96 / $186.21	Facility		$66.07	$165.96	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $213.80	Professional		$77.62	$112.20	$213.80