Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $141.25 / $213.80	Facility		$75.86	$141.25	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $194.98	Professional		$72.44	$79.43	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $173.78	Facility		$87.10	$100.00	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $134.90	Professional		$45.71	$57.54	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $346.74	Facility		$61.66	$61.66	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $218.78	Professional		$46.77	$85.11	$218.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $97.72 / $346.74	Facility		$85.11	$97.72	$346.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $229.09	Professional		$46.77	$70.79	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $117.49	Professional		$70.79	$85.11	$117.49
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $218.78	Professional		$81.28	$104.71	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $85.11 / $95.50	Facility		$33.88	$85.11	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $125.89	Professional		$39.81	$56.23	$125.89