Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $218.78	Professional		$95.50	$112.20	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $245.47	Professional		$77.62	$97.72	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $151.36	Facility		$56.23	$77.62	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $338.84 / $537.03	Facility		$109.65	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $263.03	Professional		$66.07	$144.54	$263.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $269.15	Professional		$66.07	$138.04	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $323.59	Professional		$141.25	$173.78	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $69.18 / $114.82	Facility		$46.77	$69.18	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $281.84	Professional		$79.43	$138.04	$281.84