Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $389.05	Facility		$69.18	$128.82	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $204.17	Professional		$61.66	$74.13	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $151.36	Professional		$48.98	$89.13	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $83.18	Facility		$45.71	$69.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $85.11 / $128.82	Facility		$57.54	$85.11	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $147.91	Professional		$61.66	$93.33	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $346.74	Facility		$64.57	$128.82	$346.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $151.36	Professional		$64.57	$95.50	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $147.91	Professional		$72.44	$85.11	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Facility		$57.54	$57.54	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $144.54	Professional		$51.29	$79.43	$144.54