Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $302.00 / $457.09	Facility		$162.18	$302.00	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $331.13	Professional		$134.90	$165.96	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $213.80 / $371.54	Facility		$186.21	$213.80	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $275.42	Professional		$81.28	$104.71	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $691.83	Facility		$131.83	$131.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $363.08	Professional		$91.20	$151.36	$363.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $208.93 / $831.76	Facility		$134.90	$208.93	$831.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $363.08	Professional		$93.33	$151.36	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $251.19	Professional		$151.36	$181.97	$251.19
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $467.74	Professional		$173.78	$251.19	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $181.97 / $204.17	Facility		$72.44	$181.97	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $234.42	Professional		$85.11	$120.23	$234.42