Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $436.52	Facility		$154.88	$295.12	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $316.23	Professional		$128.82	$158.49	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $204.17 / $354.81	Facility		$177.83	$204.17	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $251.19	Professional		$77.62	$95.50	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $407.38	Facility		$125.89	$125.89	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $346.74	Professional		$87.10	$147.91	$346.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $794.33	Facility		$128.82	$199.53	$794.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $346.74	Professional		$89.13	$107.15	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $158.49 / $239.88	Professional		$60.26	$158.49	$239.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $446.68	Professional		$165.96	$239.88	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $173.78 / $194.98	Facility		$69.18	$173.78	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $223.87	Professional		$81.28	$114.82	$223.87