Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $758.58	Facility		$398.11	$537.03	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $691.83	Professional		$398.11	$537.03	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,348.96	Professional		$562.34	$707.95	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $776.25	Facility		$38.02	$75.86	$776.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $912.01	Professional		$48.98	$102.33	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $467.74 / $645.65	Facility		$223.87	$467.74	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $645.65	Professional		$575.44	$575.44	$645.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $467.74 / $645.65	Facility		$223.87	$467.74	$645.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $575.44 / $575.44	Professional		$66.07	$575.44	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $125.89 / $870.96	Professional		$51.29	$125.89	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,630.27	Professional		$977.24	$1,412.54	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $389.05 / $691.83	Facility		$47.86	$389.05	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $707.95	Professional		$269.15	$457.09	$707.95