Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $380.19 / $501.19	Facility		$120.23	$380.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $204.17	Professional		$114.82	$151.36	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $263.03	Professional		$109.65	$158.49	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $131.83	Facility		$87.10	$114.82	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $323.59	Professional		$125.89	$186.21	$323.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $302.00	Professional		$125.89	$181.97	$302.00
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 $120.23 / $173.78 / $257.04	Professional		$120.23	$173.78	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $295.12	Professional		$112.20	$165.96	$295.12