Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $245.47	Professional		$114.82	$123.03	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $239.88	Professional		$83.18	$104.71	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $741.31	Facility		$316.23	$316.23	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $158.49 / $346.74	Professional		$74.13	$158.49	$346.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $151.36 / $346.74	Professional		$74.13	$151.36	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $147.91	Professional		$61.66	$123.03	$147.91
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $346.74	Professional		$128.82	$186.21	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $257.04	Professional		$91.20	$151.36	$257.04