Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $346.74	Professional		$102.33	$120.23	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $316.23	Professional		$79.43	$120.23	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $144.54	Facility		$128.82	$128.82	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $251.19	Professional		$63.10	$134.90	$251.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $295.12	Professional		$63.10	$134.90	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $346.74	Professional		$117.49	$177.83	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $251.19	Professional		$85.11	$147.91	$251.19