Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $208.93 / $380.19	Facility		$162.18	$208.93	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $208.93	Professional		$162.18	$162.18	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $181.97 / $281.84	Professional		$177.83	$181.97	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $245.47	Facility		$95.50	$95.50	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $281.84	Professional		$128.82	$218.78	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $302.00	Professional		$158.49	$218.78	$302.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $199.53	Professional		$162.18	$190.55	$199.53