Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $630.96	Facility		$194.98	$269.15	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $309.03	Professional		$169.82	$208.93	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $302.00	Professional		$131.83	$173.78	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $218.78	Facility		$93.33	$109.65	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $446.68	Professional		$169.82	$234.42	$446.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $416.87	Professional		$162.18	$239.88	$416.87
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 Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $478.63	Professional		$213.80	$239.88	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Facility		$257.04	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $407.38	Professional		$141.25	$218.78	$407.38