Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $851.14	Facility		$288.40	$549.54	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $724.44	Professional		$269.15	$331.13	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $380.19 / $660.69	Facility		$331.13	$380.19	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $467.74	Professional		$177.83	$218.78	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $407.38	Facility		$288.40	$288.40	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $1,348.96	Facility		$234.42	$234.42	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $512.86	Professional		$181.97	$229.09	$512.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $371.54 / $1,348.96	Facility		$234.42	$371.54	$1,348.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $501.19	Professional		$181.97	$229.09	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $446.68	Professional		$239.88	$295.12	$446.68
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $831.76	Professional		$234.42	$371.54	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $354.81	Facility		$128.82	$245.47	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $426.58	Professional		$151.36	$213.80	$426.58