Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $891.25 / $1,318.26	Facility		$467.74	$891.25	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $954.99	Professional		$436.52	$478.63	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $1,071.52	Facility		$537.03	$616.60	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $851.14	Professional		$288.40	$371.54	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $2,238.72	Facility		$380.19	$380.19	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $1,258.93	Professional		$295.12	$537.03	$1,258.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $2,398.83	Facility		$389.05	$602.56	$2,398.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,174.90	Professional		$295.12	$524.81	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $724.44	Professional		$436.52	$524.81	$724.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,348.96	Professional		$501.19	$724.44	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $588.84	Facility		$208.93	$524.81	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $724.44	Professional		$245.47	$354.81	$724.44