Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $234.42 / $371.54	Facility		$123.03	$234.42	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $281.84	Professional		$120.23	$144.54	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $162.18 / $281.84	Facility		$141.25	$162.18	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $173.78	Professional		$61.66	$74.13	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $177.83	Facility		$138.04	$138.04	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $524.81	Facility		$100.00	$100.00	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $204.17	Professional		$70.79	$79.43	$204.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.49 / $524.81	Facility		$100.00	$158.49	$524.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $100.00	Professional		$70.79	$79.43	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $354.81	Professional		$100.00	$162.18	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $154.88	Facility		$54.95	$93.33	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $154.88	Professional		$64.57	$91.20	$154.88