Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $389.05 / $588.84	Facility		$208.93	$389.05	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $416.87	Professional		$173.78	$213.80	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $275.42 / $478.63	Facility		$239.88	$275.42	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $295.12	Professional		$104.71	$125.89	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $302.00	Facility		$234.42	$234.42	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $549.54	Facility		$169.82	$169.82	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $524.81	Professional		$120.23	$229.09	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $169.82 / $549.54	Facility		$28.84	$169.82	$549.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $588.84	Professional		$117.49	$134.90	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $512.86	Professional		$194.98	$288.40	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $263.03	Facility		$93.33	$158.49	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $263.03	Professional		$109.65	$154.88	$263.03