Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $389.05	Facility		$138.04	$194.98	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $213.80	Professional		$117.49	$144.54	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $199.53	Professional		$85.11	$112.20	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $263.03	Professional		$114.82	$162.18	$263.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $251.19	Professional		$114.82	$162.18	$251.19
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 $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $309.03	Professional		$141.25	$165.96	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $977.24	Facility		$812.83	$812.83	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $251.19	Professional		$93.33	$138.04	$251.19