Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $138.04 / $371.54	Facility		$47.86	$138.04	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $109.65 / $177.83	Professional		$41.69	$109.65	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $123.03 / $281.84	Professional		$52.48	$123.03	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $46.77 / $53.70	Facility		$41.69	$46.77	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $51.29	Professional		$45.71	$45.71	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $70.79 / $190.55	Facility		$52.48	$70.79	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $120.23 / $234.42	Professional		$45.71	$120.23	$234.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $190.55	Facility		$70.79	$70.79	$190.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $117.49 / $218.78	Professional		$45.71	$117.49	$218.78
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 $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $117.49 / $194.98	Professional		$38.90	$117.49	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $602.56	Facility		$426.58	$512.86	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $91.20 / $177.83	Professional		$38.90	$91.20	$177.83